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1053377606
JENNIFER SHAMBAUGH
FORT WAYNE, IN
NPI
1053377606
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Former Name
JENNIFER HACKETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71002009A)
Enumeration Date
2006-04-24
Last Update Date
2008-02-21
Business Address
-- JENNIFER SHAMBAUGH NP
2700 LAFAYETTE ST STE B-10
FORT WAYNE, IN 46806-1100
Phone number: 260-744-7004
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Mailing Address
-- JENNIFER SHAMBAUGH NP
2700 LAFAYETTE ST STE B-10
FORT WAYNE, IN 46806-1100
Phone number: 260-744-7004
Copy
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