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1346682986
YOLANDA FORTENBERRY
TYLERTOWN, MS
NPI
1346682986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS P326055)
Enumeration Date
2013-07-24
Last Update Date
2013-07-24
Business Address
-- YOLANDA FORTENBERRY LPN
58 BRANDON BAY LOOP
TYLERTOWN, MS 39667-7169
Phone number: 601-551-9883
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Mailing Address
-- YOLANDA FORTENBERRY LPN
58 BRANDON BAY LOOP
TYLERTOWN, MS 39667-7169
Phone number: 601-551-9883
Copy
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