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1083064521
RAPHAELA FONTANA
GREENVILLE, SC
NPI
1083064521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: SC 39379)
Enumeration Date
2016-06-15
Last Update Date
2020-09-28
Business Address
RAPHAELA FONTANA D.O.
10 PATEWOOD DR STE 130
GREENVILLE, SC 29615-6317
Phone number: 864-455-8988
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Mailing Address
RAPHAELA FONTANA D.O.
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8617
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