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1457770927
STEPHEN DAVID FOUNTAIN
CONCORD, CA
NPI
1457770927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-04-14
Last Update Date
2014-04-14
Business Address
Mr. STEPHEN DAVID FOUNTAIN
1410 DANZIG PLZ
CONCORD, CA 94520-7979
Phone number: 925-265-6957
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Mailing Address
Mr. STEPHEN DAVID FOUNTAIN
1410 DANZIG PLZ
CONCORD, CA 94520-7979
Phone number: 925-265-6957
Copy
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