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1023435435
SHIRLEY FORTSON
COLUMBUS, GA
NPI
1023435435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-03-24
Last Update Date
2014-03-25
Business Address
SHIRLEY FORTSON
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-321-9606
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Mailing Address
SHIRLEY FORTSON
41 RICHMOND PARK DR
PHENIX CITY, AL 36869
Phone number: 706-593-8843
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