KYLE BRUCE FORTSON

ARCADIA, CA
NPI1659678167
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-02-17
Last Update Date2011-04-08
Business Address
MR. KYLE BRUCE FORTSON
12310 LOWER AZUSA RD
ARCADIA, CA 91006-5872
Phone number: 626-579-8506
Mailing Address
MR. KYLE BRUCE FORTSON
12310 LOWER AZUSA RD
ARCADIA, CA 91006-5872
Phone number: 626-579-8506
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