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Individual

DR. SAMUEL FORLENZA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1671 PARK RD, SUITE 14, FT WRIGHT, KY 41011-2769
(859) 393-5905
(859) 291-5774
Mailing address
PO BOX 414, UNION, KY 41091-0414
(859) 393-5905
(859) 291-5774

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4063
KY

Other

Enumeration date
03/09/2007
Last updated
05/17/2013
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