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Organization
JASON SHUPE, D.O., AN OSTEOPATHIC CORPORATION
Active
Organization
JASON SHUPE, D.O., AN OSTEOPATHIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SHUPE DO (CEO)
(909) 248-3437
Entity
Organization
Contact information
Practice address
554 E FOOTHILL BLVD STE 120, SAN DIMAS, CA 91773-1222
(909) 248-3437
(844) 380-6565
Mailing address
554 E FOOTHILL BLVD STE 120, SAN DIMAS, CA 91773-1222
(909) 248-3437
(844) 380-6565
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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