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1558024638
CHARLES NATHANIEL FONTENETTE
HOUSTON, TX
NPI
1558024638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX 2029932)
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
Mr. CHARLES NATHANIEL FONTENETTE PTA
11001 CRESCENT MOON DR
HOUSTON, TX 77064-4024
Phone number: 281-477-8877
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Mailing Address
Mr. CHARLES NATHANIEL FONTENETTE PTA
830 JUNELL ST
HOUSTON, TX 77088-6300
Phone number: 832-545-0977
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