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1891331013
LAURA A SHULL
FORT WAYNE, IN
NPI
1891331013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26016090A)
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
LAURA A SHULL
218 E PETTIT AVE
FORT WAYNE, IN 46806-3038
Phone number: 260-456-4736
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Mailing Address
LAURA A SHULL
218 E PETTIT AVE
FORT WAYNE, IN 46806-3038
Phone number: 260-456-4736
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