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1639346216
ASHLEY N FORT
SHREVEPORT, LA
NPI
1639346216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA 200178)
Enumeration Date
2008-05-13
Last Update Date
2015-01-22
Business Address
-- ASHLEY N FORT PA
1501 KINGS HWY DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5000
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Mailing Address
-- ASHLEY N FORT PA
1501 KINGS HWY DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5000
Copy
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