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1114512761
BRENDA FORTUNE
CHARLESTON, WV
NPI
1114512761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-03-05
Last Update Date
2021-03-05
Business Address
BRENDA FORTUNE
8 WOODWARD CT
CHARLESTON, WV 25302-2544
Phone number: 681-265-2482
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Mailing Address
BRENDA FORTUNE
8 WOODWARD CT
CHARLESTON, WV 25302-2544
Phone number:
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