KRYSTAL LYNNETTE FOUNTAIN

CHICAGO, IL
NPI1538680996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2017-07-06
Last Update Date2017-07-06
Business Address
Miss KRYSTAL LYNNETTE FOUNTAIN
7806 S WOOD ST
CHICAGO, IL 60620-4446
Phone number: 773-633-7466
Mailing Address
Miss KRYSTAL LYNNETTE FOUNTAIN
7806 S WOOD ST
CHICAGO, IL 60620-4446
Phone number: 773-633-7466
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