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1477200277
CORTNEY NICOLE FOUNTAIN
ATHENS, GA
NPI
1477200277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
CORTNEY NICOLE FOUNTAIN
250 BRAY ST
ATHENS, GA 30601-2203
Phone number: 706-389-6789
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Mailing Address
CORTNEY NICOLE FOUNTAIN
197 ORME ST
CLAYTON, GA 30525-4276
Phone number:
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