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1558100172
TIMOTHY JOSEPH FOUNTAIN
PORT ANGELES, WA
NPI
1558100172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
TIMOTHY JOSEPH FOUNTAIN
118 E 8TH ST
PORT ANGELES, WA 98362-6129
Phone number: 360-457-0431
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Mailing Address
TIMOTHY JOSEPH FOUNTAIN
118 E 8TH ST
PORT ANGELES, WA 98362-6129
Phone number: 360-457-0431
Copy
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