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1144234725
CHARLES MARK FORT
OWENSBORO, KY
NPI
1144234725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 5602)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Dr. CHARLES MARK FORT D.M.D.
1208 E BYERS AVE
OWENSBORO, KY 42303-7558
Phone number: 270-926-3838
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Mailing Address
Dr. CHARLES MARK FORT D.M.D.
1208 E BYERS AVE
OWENSBORO, KY 42303-7558
Phone number: 270-926-3838
Copy
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