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1376811489
JOHN M FENTON
REPUBLIC, MO
NPI
1376811489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
-- JOHN M FENTON CPO
838 RACHEL ST
REPUBLIC, MO 65738-1721
Phone number: 417-732-8483
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Mailing Address
-- JOHN M FENTON CPO
838 RACHEL ST
REPUBLIC, MO 65738-1721
Phone number: 417-732-8483
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