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1780252478
CICELY FORTSON
FORT HOOD, TX
NPI
1780252478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 220381)
Enumeration Date
2021-06-17
Last Update Date
2022-08-25
Business Address
CICELY FORTSON LVN
36065 SANTA FE AVE
FORT HOOD, TX 76544-5060
Phone number: 254-288-8000
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Mailing Address
CICELY FORTSON LVN
36065 SANTA FE AVE
FORT HOOD, TX 76544-5060
Phone number: 254-288-8000
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