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1104322643
JENNIFER ELIZABETH SHOUP
KALAMAZOO, MI
NPI
1104322643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501012398)
Enumeration Date
2018-04-03
Last Update Date
2018-04-03
Business Address
JENNIFER ELIZABETH SHOUP PT
1521 GULL RD
KALAMAZOO, MI 49048-1640
Phone number: 269-226-5992
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Mailing Address
JENNIFER ELIZABETH SHOUP PT
9665 CANDYTUFT
GALESBURG, MI 49053-7724
Phone number: 269-665-4551
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