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1053894915
FRASER ALLEN FONTANE
SANTA ROSA, CA
NPI
1053894915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-09-07
Last Update Date
2018-09-07
Business Address
FRASER ALLEN FONTANE
3400 MONTGOMERY DR
SANTA ROSA, CA 95405-5142
Phone number: 707-526-6972
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Mailing Address
FRASER ALLEN FONTANE
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
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