TINA MARIE FORT

TAHLEQUAH, OK
NPI1033763776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  83414)
Enumeration Date2019-07-31
Last Update Date2020-11-11
Business Address
TINA MARIE FORT APRN, NP-C
1504 N CEDAR AVE
TAHLEQUAH, OK 74464-6700
Phone number: 918-456-3456
Mailing Address
TINA MARIE FORT APRN, NP-C
4196 HIGHWAY 62 412 STE A
HARDY, AR 72542-8002
Phone number:
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