KYLIE MARAN FONTENO

SALEM, OR
NPI1225269459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA130055)
Enumeration Date2009-08-05
Last Update Date2009-08-11
Business Address
-- KYLIE MARAN FONTENO PA-C
1233 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-378-7526
Mailing Address
-- KYLIE MARAN FONTENO PA-C
1233 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-378-7526
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