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1053719401
JAKE SHOUPPE
TALLAHASSEE, FL
NPI
1053719401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS52748)
Enumeration Date
2014-12-17
Last Update Date
2014-12-17
Business Address
-- JAKE SHOUPPE
1905 HOLLY ST
TALLAHASSEE, FL 32303-4511
Phone number: 850-509-4893
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Mailing Address
-- JAKE SHOUPPE
1905 HOLLY ST
TALLAHASSEE, FL 32303-4511
Phone number:
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