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1164616694
IRIS DENISE FORDHAM
AUGUSTA, GA
NPI
1164616694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN040000)
Enumeration Date
2007-08-28
Last Update Date
2007-08-28
Business Address
Ms. IRIS DENISE FORDHAM LPN
950 LANEY WALKER BLVD
AUGUSTA, GA 30901-2960
Phone number: 706-721-5931
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Mailing Address
Ms. IRIS DENISE FORDHAM LPN
950 LANEY WALKER BLVD
AUGUSTA, GA 30901-2960
Phone number: 706-721-5931
Copy
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