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1629186481
IAN S SHUPACK
MECHANICSVILLE, VA
NPI
1629186481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101054440)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
DR. IAN S SHUPACK M.D.
7571 COLD HARBOR RD
MECHANICSVILLE, VA 23111-1631
Phone number: 804-746-9055
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Mailing Address
DR. IAN S SHUPACK M.D.
7571 COLD HARBOR RD
MECHANICSVILLE, VA 23111-1631
Phone number: 804-746-9055
Copy
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