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1194595090
AUSTIN SHEPARD
FORT WAYNE, IN
NPI
1194595090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-01-03
Last Update Date
2024-05-22
Business Address
AUSTIN SHEPARD
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-435-7001
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Mailing Address
AUSTIN SHEPARD
7910 W JEFFERSON BLVD STE 102
FORT WAYNE, IN 46804-4159
Phone number:
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