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1386795722
DAVID SHOUP
FORT LEONARD WOOD, MO
NPI
1386795722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2000175328)
Enumeration Date
2007-01-14
Last Update Date
2023-03-22
Business Address
DAVID SHOUP
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-9602
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Mailing Address
DAVID SHOUP
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-9602
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