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1184803736
CHARLES J FORTUNATO
LENEXA, KS
NPI
1184803736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2007-10-31
Last Update Date
2007-10-31
Business Address
Mr. CHARLES J FORTUNATO
8101 CAENEN LAKE RD
LENEXA, KS 66215-2556
Phone number: 913-859-0290
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Mailing Address
Mr. CHARLES J FORTUNATO
8101 CAENEN LAKE RD
LENEXA, KS 66215-2556
Phone number: 913-859-0290
Copy
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