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1386131787
VICTOR FORTSON
COVINGTON, LA
NPI
1386131787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-04-20
Last Update Date
2018-04-20
Business Address
Mr. VICTOR FORTSON
19295 N 3RD ST STE 2
COVINGTON, LA 70433-8897
Phone number: 985-400-5901
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Mailing Address
Mr. VICTOR FORTSON
19295 N 3RD ST STE 2
COVINGTON, LA 70433-8897
Phone number: 985-400-5901
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