Organization
FOREVER INK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE GEORGE (SPECIALIST)
(330) 283-4645
Entity
Organization
Contact information
Practice address
3257 ROBINS TRCE, AKRON, OH 44319-3885
(330) 283-4645
Mailing address
3257 ROBINS TRCE, AKRON, OH 44319-3885
(330) 283-4645
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1538557970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538557970
STATE OF OHIO
OH
Enumeration date
01/17/2015
Last updated
01/17/2015
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