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1043855893
DORELLA NICOLE FOUNTAIN
WASHINGTON, DC
NPI
1043855893
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Former Name
DORELLA BROWN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-11-14
Last Update Date
2019-11-14
Business Address
DORELLA NICOLE FOUNTAIN
248 58TH ST NE
WASHINGTON, DC 20019-6847
Phone number: 202-250-0535
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Mailing Address
DORELLA NICOLE FOUNTAIN
6107 BREEZEWOOD CT APT 303
GREENBELT, MD 20770-1114
Phone number: 240-840-6976
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