STACY D,ANN FOUNTAIN

MEDFORD, OR
NPI1023312972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-01-07
Last Update Date2011-01-07
Business Address
Ms. STACY D,ANN FOUNTAIN
100E. MAIN ST.
MEDFORD, OR 97504
Phone number: 541-292-7177
Mailing Address
Ms. STACY D,ANN FOUNTAIN
100 E MAIN ST
MEDFORD, OR 97501-6041
Phone number: 541-292-7177
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