ROBIN DALE FORTUNE

ELIZABETHTOWN, KY
NPI1073668067
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: KY  SA050)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
Mr. ROBIN DALE FORTUNE
5099 SPORTSMAN LAKE RD
ELIZABETHTOWN, KY 42701-8216
Phone number: 270-369-8984
Mailing Address
Mr. ROBIN DALE FORTUNE
5099 SPORTSMAN LAKE RD
ELIZABETHTOWN, KY 42701-8216
Phone number: 270-369-8984
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