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1124038260
TIMOTHY J SHAMBAUGH
FORT WAYNE, IN
NPI
1124038260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN 127177)
Enumeration Date
2006-08-09
Last Update Date
2008-07-01
Business Address
Dr. TIMOTHY J SHAMBAUGH DDS
4606 D EAST STATE BLVD
FORT WAYNE, IN 46815-6963
Phone number: 260-423-2340
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Mailing Address
Dr. TIMOTHY J SHAMBAUGH DDS
4606 D EAST STATE BLVD
FORT WAYNE, IN 46815-6963
Phone number: 260-423-2340
Copy
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