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1003415266
CHRISTIAN FORTENBERRY
JACKSON, MS
NPI
1003415266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 904008)
Enumeration Date
2020-10-20
Last Update Date
2022-09-09
Business Address
Mrs. CHRISTIAN FORTENBERRY FNP
971 LAKELAND DR STE 557
JACKSON, MS 39216-4661
Phone number: 601-200-4560
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Mailing Address
Mrs. CHRISTIAN FORTENBERRY FNP
971 LAKELAND DR STE 557
JACKSON, MS 39216-4661
Phone number: 601-200-4560
Copy
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