KARL FORTENBERRY

SHREVEPORT, LA
NPI1518123017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy227800000X Respiratory Therapist, Certified
(Licence: LA  CRT.LT3210)
Enumeration Date2008-08-04
Last Update Date2008-08-04
Business Address
Mr. KARL FORTENBERRY RRT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Mr. KARL FORTENBERRY RRT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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