SCOTT DANIAL FOUNTAIN

LINCOLN, NE
NPI1073331583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician Attendant Care Provider
Enumeration Date2024-10-02
Last Update Date2024-10-02
Business Address
SCOTT DANIAL FOUNTAIN
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1000
Mailing Address
SCOTT DANIAL FOUNTAIN
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1000
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