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1255776308
ANGELA L FOUNTAIN
TEMPE, AZ
NPI
1255776308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ CRNA0926)
Enumeration Date
2013-05-02
Last Update Date
2019-07-22
Business Address
ANGELA L FOUNTAIN CRNA
6433 S CLARK DR
TEMPE, AZ 85283-3308
Phone number: 480-414-1295
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Mailing Address
ANGELA L FOUNTAIN CRNA
6433 S CLARK DR
TEMPE, AZ 85283-3308
Phone number: 480-414-1295
Copy
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