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Bruce Fortenberry
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Provider Information
First Name
Bruce
Last Name
Fortenberry
License Number
GA-2021-7040
License Prefix
GA
Provider Type
Non-licensed
Status
Not listed
County
Not listed
State
GA
GEMSIS ID
a4613dd7-67b3-4b3a-a9a6-66138f3288d1
Grade
Grade not yet available.
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