SHAWN KITZMILLER

FORT WAYNE, IN
NPI1306591177
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
Enumeration Date2022-02-19
Last Update Date2024-05-02
Business Address
SHAWN KITZMILLER
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Mailing Address
SHAWN KITZMILLER
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-408-2203
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