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1003355249
KELSEY IRENE FORTIER
AUSTELL, GA
NPI
1003355249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN211782)
Enumeration Date
2017-02-21
Last Update Date
2017-02-21
Business Address
Mrs. KELSEY IRENE FORTIER NP-C
1605 MULKEY RD SUITE 220
AUSTELL, GA 30106-1127
Phone number: 470-956-3760
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Mailing Address
Mrs. KELSEY IRENE FORTIER NP-C
3149 DUNN ST SE
SMYRNA, GA 30080-4413
Phone number: 760-214-4060
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