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1538529029
RICHARD FORTENBERRY
ALBUQUERQUE, NM
NPI
1538529029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-02-26
Last Update Date
2016-02-26
Business Address
-- RICHARD FORTENBERRY
8500 WASHINGTON ST NE
ALBUQUERQUE, NM 87113-1846
Phone number: 505-828-2827
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Mailing Address
-- RICHARD FORTENBERRY
8500 WASHINGTON ST NE
ALBUQUERQUE, NM 87113-1846
Phone number:
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