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1700011822
CHRISTOPHER SHUPE
TEXARKANA, AR
NPI
1700011822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-05-19
Last Update Date
2009-05-19
Business Address
-- CHRISTOPHER SHUPE MHPP
4425 JEFFERSON AVE
TEXARKANA, AR 71854
Phone number: 870-774-0920
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Mailing Address
-- CHRISTOPHER SHUPE MHPP
4425 JEFFERSON AVE
TEXARKANA, AR 71854
Phone number: 870-774-0920
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