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1194799627
DIANA KATHLEEN FORT
GLENDALE, CA
NPI
1194799627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A72238)
Enumeration Date
2006-02-13
Last Update Date
2007-07-08
Business Address
Dr. DIANA KATHLEEN FORT MD
VERDUGO HILLS MEDICAL ASSOCIATES 544 NORTH GLENDALE AVE.
GLENDALE, CA 91206
Phone number: 818-241-4331
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Mailing Address
Dr. DIANA KATHLEEN FORT MD
2742 MAYFIELD AVE
LA CRESCENTA, CA 91214-3816
Phone number: 818-249-9134
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