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Individual

JOE FORTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
680 NORTHLAND BLVD, CINCINNATI, OH 45240-3248
(513) 476-3204
Mailing address
680 NORTHLAND BLVD, CINCINNATI, OH 45240-3248
(513) 476-3204

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary

Other

Enumeration date
11/11/2016
Last updated
11/11/2016
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