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1568123180
CASEY L FORTHMAN
PADUCAH, KY
NPI
1568123180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3015977)
Enumeration Date
2022-01-05
Last Update Date
2022-02-10
Business Address
CASEY L FORTHMAN APRN
548 LONE OAK RD
PADUCAH, KY 42003-4538
Phone number: 270-442-6161
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Mailing Address
CASEY L FORTHMAN APRN
2200 JEFFERSON AVE FL 5
TOLEDO, OH 43604-7102
Phone number: 419-251-2032
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