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1750683983
VICTOR M FORTANELLI
HOT SPRINGS, AR
NPI
1750683983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-11-19
Last Update Date
2011-02-03
Business Address
VICTOR M FORTANELLI
125 DONS WAY
HOT SPRINGS, AR 71913-6478
Phone number: 501-624-7111
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Mailing Address
VICTOR M FORTANELLI
125 DONS WAY
HOT SPRINGS, AR 71913-6478
Phone number: 501-624-7111
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