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1316120819
JULIANA M FORT MD LLC
FAIRHOPE, AL
NPI
1316120819
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Entity Type
Organization
Authorized Contact
JULIANA M FORT
Owner
251-978-9813
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
Enumeration Date
2007-12-07
Last Update Date
2007-12-07
Business Address
JULIANA M FORT MD LLC
10 N SECTION ST # 126
FAIRHOPE, AL 36532-2205
Phone number: 251-978-9813
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Mailing Address
JULIANA M FORT MD LLC
10 N SECTION ST # 126
FAIRHOPE, AL 36532-2205
Phone number: 251-978-9813
Copy
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