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1023000429
DARRYL FONTAINE
KINGSPORT, TN
NPI
1023000429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TN 20124)
Enumeration Date
2005-08-22
Last Update Date
2007-07-08
Business Address
-- DARRYL FONTAINE MD
4105 FORT HENRY DRIVE SUITE 207
KINGSPORT, TN 37663
Phone number: 423-239-5833
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Mailing Address
-- DARRYL FONTAINE MD
1 FONTAINE CT
KINGSPORT, TN 37660
Phone number: 423-392-4981
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