RANDY FORTKAMP

MARION, IN
NPI1770159337
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18004260A)
Enumeration Date2021-06-03
Last Update Date2021-06-03
Business Address
RANDY FORTKAMP OD
711 N RIVER DR
MARION, IN 46952-2672
Phone number: 765-664-9637
Mailing Address
RANDY FORTKAMP OD
3750 N TROY AVE
MARION, IN 46952-9792
Phone number: 260-251-5533
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