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1548348386
LYUDMILA I. FORTENKO
VALLEJO, CA
NPI
1548348386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A67071)
Enumeration Date
2006-11-01
Last Update Date
2021-12-13
Business Address
LYUDMILA I. FORTENKO MD
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-1000
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Mailing Address
LYUDMILA I. FORTENKO MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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