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Individual

DAVID FENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED.

Contact information

Practice address
7643 MONTGOMERY RD UNIT 5, CINCINNATI, OH 45236-4256
(513) 538-2046
Mailing address
7643 MONTGOMERY RD UNIT 5, CINCINNATI, OH 45236-4256
(513) 538-2046

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
347C00000X
Private Vehicle
DJD2516
OH

Other

Enumeration date
12/14/2021
Last updated
12/14/2021
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