DAN FORTIN

DOTHAN, AL
NPI1225423635
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL  S10409)
Enumeration Date2015-04-02
Last Update Date2015-04-02
Business Address
MR. DAN FORTIN
2618 ROSEBUSH RD
DOTHAN, AL 36303-5521
Phone number: 334-333-0488
Mailing Address
MR. DAN FORTIN
2618 ROSEBUSH RD
DOTHAN, AL 36303-5521
Phone number: 334-333-0488
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