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Individual
MR. DUSTIN RONALD FORNEY
Active
Individual
MR. DUSTIN RONALD FORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT/PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA.06556
OH
2255A2300X
Athletic Trainer
Primary
AT2660
OH
Other
Enumeration date
05/03/2006
Last updated
09/10/2013
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