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1518437730
JOHNTAY D FORT
WOOSTER, OH
NPI
1518437730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-11-30
Last Update Date
2018-11-30
Business Address
JOHNTAY D FORT QMHS
2803 AKRON RD
WOOSTER, OH 44691-7904
Phone number: 330-264-3232
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Mailing Address
JOHNTAY D FORT QMHS
2000 NOBLE DR
WOOSTER, OH 44691-5353
Phone number:
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