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1376205625
KATHRYN NICHOLE FOUNTAINE
ALLENTOWN, PA
NPI
1376205625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA062937)
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
KATHRYN NICHOLE FOUNTAINE
421 CHEW ST
ALLENTOWN, PA 18102-3406
Phone number: 866-785-8537
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Mailing Address
KATHRYN NICHOLE FOUNTAINE
384 DEVON DR
EXTON, PA 19341-1781
Phone number: 484-886-5033
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