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1518204338
JACK KEVIN SHUMAKER
FORT WAYNE, IN
NPI
1518204338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31003007A)
Enumeration Date
2013-01-14
Last Update Date
2013-01-14
Business Address
-- JACK KEVIN SHUMAKER OT
611 W COUNTY LINE RD S
FORT WAYNE, IN 46814-7592
Phone number: 260-625-1445
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Mailing Address
-- JACK KEVIN SHUMAKER OT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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