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1396715165
PAUL MICHAEL FORTUNATO
USAF ACADEMY, CO
NPI
1396715165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CT 6347)
Enumeration Date
2006-01-25
Last Update Date
2008-07-07
Business Address
PAUL MICHAEL FORTUNATO D.M.D., M.S., ABGD
4102 PINION DR 10 MEDICAL GROUUP
USAF ACADEMY, CO 80840-2502
Phone number: 719-333-5592
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Mailing Address
PAUL MICHAEL FORTUNATO D.M.D., M.S., ABGD
4102 PINION DR 10 MEDICAL GROUUP
USAF ACADEMY, CO 80840-2502
Phone number: 719-333-5592
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