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1518039437
RICHARD EDWARD FORT
UPLAND, CA
NPI
1518039437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT013902)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Mr. RICHARD EDWARD FORT MFT
1020 W 8TH ST
UPLAND, CA 91786-6326
Phone number: 909-982-2638
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Mailing Address
Mr. RICHARD EDWARD FORT MFT
188 W LANGSTON ST
UPLAND, CA 91786-3123
Phone number: 909-982-8687
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