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1487176764
LEAH DANIELLE FOUNTAIN
MOUNTAIN HOME, AR
NPI
1487176764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005203)
Enumeration Date
2017-07-08
Last Update Date
2019-09-25
Business Address
LEAH DANIELLE FOUNTAIN MSN, NP-C APRN
555 W 6TH ST
MOUNTAIN HOME, AR 72653-3409
Phone number: 870-425-8288
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Mailing Address
LEAH DANIELLE FOUNTAIN MSN, NP-C APRN
PO BOX 1254
MOUNTAIN HOME, AR 72654-1254
Phone number: 870-425-8288
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