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1114101631
ANNIE LEOLA FORTSON
LOS ANGELES, CA
NPI
1114101631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-12-19
Last Update Date
2007-12-19
Business Address
Mrs. ANNIE LEOLA FORTSON
320 W TEMPLE ST
LOS ANGELES, CA 90012-3208
Phone number: 213-974-0416
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Mailing Address
Mrs. ANNIE LEOLA FORTSON
320 W TEMPLE ST
LOS ANGELES, CA 90012-3208
Phone number: 213-974-0416
Copy
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