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1306591177
SHAWN KITZMILLER
FORT WAYNE, IN
NPI
1306591177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2022-02-19
Last Update Date
2024-05-02
Business Address
SHAWN KITZMILLER
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
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Mailing Address
SHAWN KITZMILLER
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-408-2203
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