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Individual
MATTHEW FOSTER
Active
Individual
MATTHEW FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100622
—
OH
01
—
05110014474
FIRST AID AND CPR AED
OH
01
—
401111010710
DEPARTMENT OF HEALTH
OH
Enumeration date
10/24/2014
Last updated
07/21/2022
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