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1275295081
CHARLES JOSEPH HORTMAN
FORSYTH, GA
NPI
1275295081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
Enumeration Date
2021-10-08
Last Update Date
2021-10-08
Business Address
Mr. CHARLES JOSEPH HORTMAN
91 W JOHNSTON ST STE B
FORSYTH, GA 31029-2156
Phone number: 478-922-9969
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Mailing Address
Mr. CHARLES JOSEPH HORTMAN
91 W JOHNSTON ST STE B
FORSYTH, GA 31029-2156
Phone number: 478-922-9969
Copy