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1003148487
KELLY RAWLS FOUNTAIN
MOBILE, AL
NPI
1003148487
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Former Name
KELLY ANN RAWLS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AL 1586)
Enumeration Date
2010-02-09
Last Update Date
2013-02-04
Business Address
KELLY RAWLS FOUNTAIN M.S., L.P.T.
2864 DAUPHIN ST SUITE A
MOBILE, AL 36606-2479
Phone number: 251-470-7607
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Mailing Address
KELLY RAWLS FOUNTAIN M.S., L.P.T.
2864 DAUPHIN ST SUITE A
MOBILE, AL 36606-2479
Phone number: 251-470-7607
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