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1477581965
ANNIE M FONTAINE
SAINT PAUL, MN
NPI
1477581965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 37625)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
-- ANNIE M FONTAINE MD
1020 BANDANA BLVD W
SAINT PAUL, MN 55108-5107
Phone number: 651-641-7021
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Mailing Address
-- ANNIE M FONTAINE MD
1021 BANDANA BLVD E SUITE 200
SAINT PAUL, MN 55108-5113
Phone number: 651-642-2700
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