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1376695098
ANGELIQUE THAIS FONTENETTE
PINE BLUFF, AR
NPI
1376695098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: AR N8418)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Dr. ANGELIQUE THAIS FONTENETTE M.D.
JEFFERSON REGIONAL MEDICAL CENTER 1600 WEST 40TH
PINE BLUFF, AR 71603
Phone number: 501-541-7100
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Mailing Address
Dr. ANGELIQUE THAIS FONTENETTE M.D.
11810 SHADY RIDGE DR
LITTLE ROCK, AR 72211-4589
Phone number: 501-228-0527
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