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1538680996
KRYSTAL LYNNETTE FOUNTAIN
CHICAGO, IL
NPI
1538680996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2017-07-06
Last Update Date
2017-07-06
Business Address
Miss KRYSTAL LYNNETTE FOUNTAIN
7806 S WOOD ST
CHICAGO, IL 60620-4446
Phone number: 773-633-7466
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Mailing Address
Miss KRYSTAL LYNNETTE FOUNTAIN
7806 S WOOD ST
CHICAGO, IL 60620-4446
Phone number: 773-633-7466
Copy
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