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1780843565
DEANNE J. FORTSON
NORTH LITTLE ROCK, AR
NPI
1780843565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2083X0100X Preventive Medicine, Occupational Medicine
(Licence: AZ PT3029)
Enumeration Date
2008-06-05
Last Update Date
2008-06-05
Business Address
-- DEANNE J. FORTSON PT
3470 LANDERS RD
NORTH LITTLE ROCK, AR 72117-2541
Phone number: 123-456-7890
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Mailing Address
-- DEANNE J. FORTSON PT
5080 SPECTRUM DR SUITE 1200 WEST
ADDISON, TX 75001-4648
Phone number: 800-232-3550
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