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Individual

JENNIFER E FORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
311 W 14TH ST, PUEBLO, CO 81003-2710
(719) 595-7585
(719) 595-7589
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
DR.0053938
CO
207R00000X
Internal Medicine Physician
Primary
4626
CO

Other

Enumeration date
06/12/2013
Last updated
09/01/2016
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