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1205391117
MALLORY SHUPE
FORT WAYNE, IN
NPI
1205391117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
MALLORY SHUPE
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1943
Phone number: 260-338-1241
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Mailing Address
MALLORY SHUPE
4935 HILLEGAS RD STE 200
FORT WAYNE, IN 46818-1943
Phone number: 260-338-1241
Copy
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