Oumou Fort

NPI #1124481882 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1124481882
Entity Type: Individual
Name: Oumou Fort
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Mar 31, 2016
Last Updated: Mar 31, 2016

Practice Location

Address: 3351 S 51ST ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53219-4516
Phone: (414) 460-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Private Vehicle	347C00000X	Primary

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