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Richard Neil Fortune Crna Pc Valid NPI

Organization · Certified Registered Nurse Anesthetist · Geronimo, OK

NPI
1932394285
Type
Organization (Type 2)
Primary specialty
Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
367500000X
License number
R0048255 (OK)
Enumerated
2007-09-10
Last updated
2007-09-10
Practice location
412 Sw Landmark Cir
Geronimo, OK 73543-5144
(580) 357-8198

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