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Individual

SHALLON FORTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
701 ARKANSAS BLVD, TEXARKANA, AR 71854
87077250284285
Mailing address
701 ARKANSAS BLVD, TEXARKANA, AR 71854-2105
87077250284285

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
923244
TX

Other

Enumeration date
07/31/2017
Last updated
07/31/2017
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