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1225294374
TERESA KAREN FORTNER
NORTH LITTLE ROCK, AR
NPI
1225294374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-07-29
Last Update Date
2008-07-29
Business Address
Mrs. TERESA KAREN FORTNER MHPP
525 WISTERIA DR
NORTH LITTLE ROCK, AR 72118-3567
Phone number: 501-594-5200
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Mailing Address
Mrs. TERESA KAREN FORTNER MHPP
PO BOX 180
PARON, AR 72122-0180
Phone number: 501-594-5200
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