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1962152223
JOHNESHA FORT
TALLULAH, LA
NPI
1962152223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
JOHNESHA FORT
805 N BEECH ST
TALLULAH, LA 71282-3809
Phone number: 131-857-4009
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Mailing Address
JOHNESHA FORT
805 N BEECH ST
TALLULAH, LA 71282-3809
Phone number: 318-574-0098
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