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1497072060
MADELINE FONTAINE
TALLAHASSEE, FL
NPI
1497072060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: FL MA56297)
Enumeration Date
2010-04-22
Last Update Date
2010-04-22
Business Address
-- MADELINE FONTAINE LMT
3521 MACLAY BLVD S
TALLAHASSEE, FL 32312-3913
Phone number: 850-431-4872
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Mailing Address
-- MADELINE FONTAINE LMT
150 PARKBROOK CIR
TALLAHASSEE, FL 32301-8913
Phone number: 850-294-1928
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