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1891768289
GARY DEE FORTNER
CLAREMORE, OK
NPI
1891768289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 12540)
Enumeration Date
2006-02-08
Last Update Date
2010-12-09
Business Address
-- GARY DEE FORTNER MD
1408 N FLORENCE AVE
CLAREMORE, OK 74017-3159
Phone number: 918-341-1044
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Mailing Address
-- GARY DEE FORTNER MD
1408 N FLORENCE AVE
CLAREMORE, OK 74017-3159
Phone number: 918-341-1044
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