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1902082829
ELLEN FORTUN
PLYMOUTH MEETING, PA
NPI
1902082829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN 5156444)
Enumeration Date
2008-01-10
Last Update Date
2008-01-10
Business Address
-- ELLEN FORTUN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- ELLEN FORTUN
2871 SE ITALY ST
PORT ST LUCIE, FL 34952-5587
Phone number: 772-940-2403
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