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1528529187
PAUL TANNER SHAFFER
MAYWOOD, IL
NPI
1528529187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: IL 135001034)
Enumeration Date
2019-03-27
Last Update Date
2021-07-08
Business Address
PAUL TANNER SHAFFER
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 312-567-2000
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Mailing Address
PAUL TANNER SHAFFER
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 312-567-2000
Copy
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