LARRY M. FOUNTAIN

DUBLIN, GA
NPI1154586568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN063292)
Enumeration Date2008-07-24
Last Update Date2008-07-24
Business Address
-- LARRY M. FOUNTAIN RN
2121A BELLEVUE RD
DUBLIN, GA 31021-2998
Phone number: 478-272-1190
Mailing Address
-- LARRY M. FOUNTAIN RN
2121A BELLEVUE RD
DUBLIN, GA 31021-2998
Phone number: 478-272-1190
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