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1376182618
CHRISTINA FONTAINE
VAN BUREN, AR
NPI
1376182618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OTA-1570)
Enumeration Date
2020-01-03
Last Update Date
2020-01-03
Business Address
CHRISTINA FONTAINE COTA/L
402 CEDAR CREEK DR
VAN BUREN, AR 72956-6518
Phone number: 479-459-3111
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Mailing Address
CHRISTINA FONTAINE COTA/L
402 CEDAR CREEK DR
VAN BUREN, AR 72956-6518
Phone number: 479-459-3111
Copy
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