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Individual

CHRISTOPHER FOGARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, PMHNP-BC

Contact information

Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Mailing address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.024823
OH

Other

Enumeration date
06/17/2019
Last updated
06/17/2019
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