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1669796652
TERRI DAWN FORTNER
FARMINGTON, NM
NPI
1669796652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NM CNP01563)
Enumeration Date
2010-03-18
Last Update Date
2011-11-17
Business Address
-- TERRI DAWN FORTNER PMHNP-BC
1001 W. BROADWAY
FARMINGTON, NM 87401
Phone number: 505-325-0238
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Mailing Address
-- TERRI DAWN FORTNER PMHNP-BC
1001 W BROADWAY
FARMINGTON, NM 87401-5638
Phone number: 505-325-0238
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