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1144280934
MARK DWAIN FENTON
CINCINNATI, OH
NPI
1144280934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OH 4191)
Enumeration Date
2006-03-24
Last Update Date
2012-02-13
Business Address
-- MARK DWAIN FENTON OD
8548 BEECHMONT AVE
CINCINNATI, OH 45255-4708
Phone number: 513-474-0122
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Mailing Address
-- MARK DWAIN FENTON OD
375 INDIAN RIPPLE ROAD
WILMINGTON, OH 45177
Phone number: 937-383-2410
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