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1467857896
FONTAINE WILLIAMS
CENTERVILLE, OH
NPI
1467857896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OH APRN.CNP.17004)
Enumeration Date
2014-10-28
Last Update Date
2020-12-31
Business Address
FONTAINE WILLIAMS
2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH 45459-4780
Phone number: 937-293-1622
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Mailing Address
FONTAINE WILLIAMS
6680 POE AVE STE 200
DAYTON, OH 45414-2855
Phone number: 937-293-1622
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