SUSAN JOAN FORTIER

PUEBLO, CO
NPI1629403050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2013-09-04
Last Update Date2013-09-04
Business Address
Mrs. SUSAN JOAN FORTIER PA-C
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4306
Mailing Address
Mrs. SUSAN JOAN FORTIER PA-C
2730 S HIGHLAND DR #5
SALT LAKE CITY, UT 84106-3162
Phone number: 719-250-1134
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