Individual
MR. MATT DAPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 BUCKEYE ST, ROCKFORD, OH 45882-9266
(419) 363-2193
Mailing address
2968 JERICHO PL, DELAWARE, OH 43015-3175
(614) 401-7294
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
5096-2
OH
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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