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1154619435
KRISTIE N FOUNTAIN
STATESVILLE, NC
NPI
1154619435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 9427)
Enumeration Date
2011-07-20
Last Update Date
2022-04-13
Business Address
KRISTIE N FOUNTAIN M.S. CCC-SLP
129 N TRADD ST
STATESVILLE, NC 28677-5239
Phone number: 704-779-2908
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Mailing Address
KRISTIE N FOUNTAIN M.S. CCC-SLP
2310 PINE RUN
TEGA CAY, SC 29708-8328
Phone number: 434-665-7214
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