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1407166077
PROFESSIONAL PSYCHIATRIC SERVICES, LLC
FORT WAYNE, IN
NPI
1407166077
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Entity Type
Organization
Authorized Contact
S. CHRISTOPHER SHIM
President
260-615-1216
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2010-10-18
Last Update Date
2013-02-01
Business Address
PROFESSIONAL PSYCHIATRIC SERVICES, LLC
6203 CONSTITUTION DR
FORT WAYNE, IN 46804-1517
Phone number: 260-969-9696
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Mailing Address
PROFESSIONAL PSYCHIATRIC SERVICES, LLC
11012 W SYCAMORE HILLS DR
FORT WAYNE, IN 46814-9308
Phone number: 260-969-9696
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