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Individual
DR. BRANDON SLOANE FORTINBERRY
Active
Individual
DR. BRANDON SLOANE FORTINBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1189
MS
111NR0400X
Rehabilitation Chiropractor
721
MS
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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