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1760903413
TERRA FORTNER
TRENTON, TN
NPI
1760903413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN LPN0000081582)
Enumeration Date
2017-07-03
Last Update Date
2022-07-21
Business Address
TERRA FORTNER LPN
1250 S MANUFACTURERS ROW
TRENTON, TN 38382-3632
Phone number: 731-855-7601
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Mailing Address
TERRA FORTNER LPN
1250 S MANUFACTURERS ROW
TRENTON, TN 38382-3632
Phone number: 731-855-7601
Copy
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