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Individual
DR. EUGENE M FORTUNA
Active
Individual
DR. EUGENE M FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004017
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05884020
BLUE CROSS BLUE SHILED
MO
Enumeration date
01/19/2006
Last updated
08/02/2013
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