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1558843219
NIKELL THOMPSON FORTIA
GRETNA, LA
NPI
1558843219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Additional Taxonomies
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-08-29
Last Update Date
2018-08-30
Business Address
NIKELL THOMPSON FORTIA
561 MORNINGSIDE DR
GRETNA, LA 70056
Phone number: 504-210-6606
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Mailing Address
NIKELL THOMPSON FORTIA
561 MORNINGSIDE DR
GRETNA, LA 70056-2830
Phone number: 504-210-6606
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