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1699980607
MICHAEL EUGENE SHAMBAUGH
FORT WAYNE, IN
NPI
1699980607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12009044A)
Enumeration Date
2007-05-12
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL EUGENE SHAMBAUGH DDS
1320 MEDICAL PARK DR
FORT WAYNE, IN 46825-5844
Phone number: 260-484-7919
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Mailing Address
Dr. MICHAEL EUGENE SHAMBAUGH DDS
1320 MEDICAL PARK DR
FORT WAYNE, IN 46825-5844
Phone number: 260-484-7919
Copy
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