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1164001293
TRAVIS ALEXANDER FORTIN
BIRMINGHAM, AL
NPI
1164001293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-06
Last Update Date
2021-04-16
Business Address
Dr. TRAVIS ALEXANDER FORTIN MD
625 19TH STREET SOUTH
BIRMINGHAM, AL 35249-5327
Phone number: 205-934-4793
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Mailing Address
Dr. TRAVIS ALEXANDER FORTIN MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number:
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