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1053509075
STEPHANIE FORTNER
MALVERN, AR
NPI
1053509075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-10-04
Last Update Date
2009-07-23
Business Address
STEPHANIE FORTNER MHPP
829 HALBERT ST
MALVERN, AR 72104-2607
Phone number: 501-332-4400
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Mailing Address
STEPHANIE FORTNER MHPP
829 HALBERT ST
MALVERN, AR 72104-2607
Phone number: 501-332-4400
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