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1013948348
JON ANDREW SHULL
SOUTH BEND, IN
NPI
1013948348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01064025A)
Enumeration Date
2006-07-05
Last Update Date
2009-10-28
Business Address
Dr. JON ANDREW SHULL M.D.
1708 HIGH ST
SOUTH BEND, IN 46613-2633
Phone number: 574-647-1400
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Mailing Address
Dr. JON ANDREW SHULL M.D.
3355 DOUGLAS RD SUITE 300
SOUTH BEND, IN 46635-1781
Phone number:
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