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1619416278
DESHONDRA L FORTSON
SAN DIEGO, CA
NPI
1619416278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-02-15
Last Update Date
2019-04-24
Business Address
DESHONDRA L FORTSON
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120-3425
Phone number: 619-481-5200
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Mailing Address
DESHONDRA L FORTSON
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120-3425
Phone number: 619-481-5200
Copy
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