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Individual

DR. FANTA POWELL LABITUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1118 RYLAND AVE, CINCINNATI, OH 45237-5126
(301) 213-6397
Mailing address
1118 RYLAND AVE, CINCINNATI, OH 45237-5126
(301) 213-6397

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
057554416
GA

Other

Enumeration date
10/24/2012
Last updated
10/24/2012
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