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1003980103
CHARLES KEITH FUQUA
MAUMEE, OH
NPI
1003980103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OH 14255)
Enumeration Date
2006-11-20
Last Update Date
2012-12-11
Business Address
Mr. CHARLES KEITH FUQUA DDS
2444 S DETROIT AVE C KEITH FUGUA DDS
MAUMEE, OH 43537
Phone number: 419-893-8431
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Mailing Address
Mr. CHARLES KEITH FUQUA DDS
2444 S DETROIT AVE C KEITH FUGUA DDS
MAUMEE, OH 43537
Phone number: 419-893-8431
Copy
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