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1790814747
VICTORIA TERESA FORTNER
BRYANT, AR
NPI
1790814747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Miss VICTORIA TERESA FORTNER
12100 FIELDSTONE LN APT M65
BRYANT, AR 72022-6257
Phone number: 501-594-5200
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Mailing Address
Miss VICTORIA TERESA FORTNER
12100 FIELDSTONE LN APT M65
BRYANT, AR 72022-6257
Phone number: 501-350-4239
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