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1124683362
LATONYA FORT
SAINT LOUIS, MO
NPI
1124683362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
Ms. LATONYA FORT
4952 BEACON AVE
SAINT LOUIS, MO 63120-2210
Phone number: 314-368-8995
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Mailing Address
Ms. LATONYA FORT
PO BOX 7641
SAINT LOUIS, MO 63106-0641
Phone number: 314-368-8995
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