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1053781575
MICHAEL FOMENKY
DELAWARE, OH
NPI
1053781575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH COA.18158-NP)
Enumeration Date
2015-09-26
Last Update Date
2024-10-15
Business Address
MICHAEL FOMENKY CNP
336 W WIND RD
DELAWARE, OH 43015-7737
Phone number: 000-000-0000
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Mailing Address
MICHAEL FOMENKY CNP
336 W WIND RD
DELAWARE, OH 43015-7737
Phone number: 000-000-0000
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