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1013212828
VIVIAN S. FONTENOT
ATLANTA, GA
NPI
1013212828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN180376)
Enumeration Date
2011-01-26
Last Update Date
2011-01-26
Business Address
-- VIVIAN S. FONTENOT CRNA
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 770-645-9181
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Mailing Address
-- VIVIAN S. FONTENOT CRNA
3155 N POINT PKWY BUILDING F, SUITE 100
ALPHARETTA, GA 30005-5481
Phone number: 770-645-9181
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