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1013954569
DANA FONTAINE
SAGINAW, MI
NPI
1013954569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101009851)
Enumeration Date
2006-06-01
Last Update Date
2014-04-21
Business Address
-- DANA FONTAINE D.O
1447 N HARRISON ST
SAGINAW, MI 48602-4727
Phone number: 989-837-2647
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Mailing Address
-- DANA FONTAINE D.O
1549 WASHINGTON ST
MIDLAND, MI 48640-5685
Phone number: 989-837-2647
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