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1023562386
PAUL SHUPE
FORT WAYNE, IN
NPI
1023562386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012226A)
Enumeration Date
2016-08-04
Last Update Date
2016-08-04
Business Address
-- PAUL SHUPE DPT
9902 ILLINOIS RD
FORT WAYNE, IN 46804-5770
Phone number: 260-432-4700
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Mailing Address
-- PAUL SHUPE DPT
4251 LAHMEYER RD
FORT WAYNE, IN 46815-5676
Phone number: 260-432-4700
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