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Individual
CANDACE MERITA FORTUNE
Active
Individual
CANDACE MERITA FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A69812
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A69812
CA
Other
Enumeration date
08/30/2006
Last updated
10/14/2010
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