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1881996221
JOHN JOSEPH FORTUNE
PHOENIX, AZ
NPI
1881996221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: AZ R71961)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
JOHN JOSEPH FORTUNE MD
350 W THOMAS RD ATTN: ACADEMIC AFFAIRS
PHOENIX, AZ 85013-4409
Phone number: 602-406-3538
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Mailing Address
JOHN JOSEPH FORTUNE MD
350 W THOMAS RD ATTN: ACADEMIC AFFAIRS
PHOENIX, AZ 85013-4409
Phone number: 602-406-3538
Copy
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