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1215902820
RICHARD ALLAN FORT
OAK HARBOR, WA
NPI
1215902820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146D00000X Personal Emergency Response Attendant
(Licence: WA MD00023848)
Enumeration Date
2006-02-18
Last Update Date
2007-07-08
Business Address
Dr. RICHARD ALLAN FORT MD
3822 RIDGEWOOD DR
OAK HARBOR, WA 98277-7708
Phone number: 360-257-9646
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Mailing Address
Dr. RICHARD ALLAN FORT MD
3822 RIDGEWOOD DR
OAK HARBOR, WA 98277-7708
Phone number: 360-257-9646
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