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1467629428
SUSAN BETH FONTAINE
TUSCALOOSA, AL
NPI
1467629428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-048688)
Enumeration Date
2008-05-09
Last Update Date
2020-11-16
Business Address
MRS. SUSAN BETH FONTAINE CRNP
750 5TH AVE E UA STUDENT HEALTH CENTER
TUSCALOOSA, AL 35401-7421
Phone number: 205-348-6262
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Mailing Address
MRS. SUSAN BETH FONTAINE CRNP
750 5TH AVE E UA STUDENT HEALTH CENTER
TUSCALOOSA, AL 35401-7421
Phone number: 205-348-6262
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