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1235907759
DEBORAH FOUNTAIN
CANTON, NY
NPI
1235907759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 564484)
Enumeration Date
2023-12-14
Last Update Date
2023-12-14
Business Address
DEBORAH FOUNTAIN RN
80 ST HWY 310 STE 1
CANTON, NY 13617-1493
Phone number: 315-386-2189
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Mailing Address
DEBORAH FOUNTAIN RN
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617-1493
Phone number: 315-386-2189
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