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1194727735
LORA J FORTENBERRY
INDIANAPOLIS, IN
NPI
1194727735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71000856A)
Enumeration Date
2005-08-12
Last Update Date
2007-07-08
Business Address
-- LORA J FORTENBERRY NP
8925 N MERIDIAN ST 150
INDIANAPOLIS, IN 46260-2386
Phone number: 317-846-1846
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Mailing Address
-- LORA J FORTENBERRY NP
PO BOX 4237
CARMEL, IN 46082-4237
Phone number: 317-218-2800
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