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1568564359
JAY NATHAN FORTNER
LUBBOCK, TX
NPI
1568564359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX TX18583)
Enumeration Date
2006-09-02
Last Update Date
2013-03-27
Business Address
-- JAY NATHAN FORTNER D.D.S.
8209 GENOA AVENUE SUITE 100
LUBBOCK, TX 79424
Phone number: 806-791-1481
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Mailing Address
-- JAY NATHAN FORTNER D.D.S.
8209 GENOA AVENUE SUITE 100
LUBBOCK, TX 79424
Phone number: 806-791-1481
Copy
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