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1154714384
KELLY FOUNTAIN, M.S., L.P.T., L.L.C.
MOBILE, AL
NPI
1154714384
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Entity Type
Organization
Authorized Contact
KELLY FOUNTAIN
Owner
251-470-7607
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AL 1586)
Enumeration Date
2015-03-12
Last Update Date
2015-03-12
Business Address
KELLY FOUNTAIN, M.S., L.P.T., L.L.C.
2864 DAUPHIN ST SUITE A
MOBILE, AL 36606-2479
Phone number: 251-470-7607
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Mailing Address
KELLY FOUNTAIN, M.S., L.P.T., L.L.C.
2864 DAUPHIN ST SUITE A
MOBILE, AL 36606-2479
Phone number:
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