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1154457612
PETER MICHAEL FANTINO
FREMONT, OH
NPI
1154457612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OH 33.011903)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mr. PETER MICHAEL FANTINO L.M.T.
1110 E STATE ST
FREMONT, OH 43420-4358
Phone number: 419-307-1290
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Mailing Address
Mr. PETER MICHAEL FANTINO L.M.T.
709 FRANKLIN AVE
FREMONT, OH 43420-2003
Phone number: 419-332-1668
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