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1841227196
BRENDA LOUISE FORT
DECATUR, GA
NPI
1841227196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN085152)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
-- BRENDA LOUISE FORT N.P.
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
-- BRENDA LOUISE FORT N.P.
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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