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1952343808
PHILIP R SHUPE
GLENDALE, CA
NPI
1952343808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA E2648)
Enumeration Date
2006-06-12
Last Update Date
2020-04-22
Business Address
PHILIP R SHUPE DPM
1530 E CHEVY CHASE DR SUITE 107
GLENDALE, CA 91206-4163
Phone number: 818-265-1581
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Mailing Address
PHILIP R SHUPE DPM
PO BOX 2180
TOLUCA LAKE, CA 91610-0180
Phone number:
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