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Individual

ROBERT DALE POTEETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5088 PLEASANT AVE, FAIRFIELD, OH 45014
(513) 863-0464
(513) 863-8168
Mailing address
5088 PLEASANT AVE, FAIRFIELD, OH 45014-2518
(513) 863-0464
(513) 863-8168

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
658
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0327337
OH
01
743059774-00
OHIO WORK COMP
OH
Enumeration date
07/24/2006
Last updated
06/11/2018
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