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1043615727
MELISSA FANT
FORT STEWART, GA
NPI
1043615727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-046915)
Enumeration Date
2014-10-24
Last Update Date
2014-10-24
Business Address
MELISSA FANT
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-5515
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Mailing Address
MELISSA FANT
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-5515
Copy
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