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1578849915
MARSHA L FOUNTAIN
SAINT LOUIS, MO
NPI
1578849915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 2002021802)
Enumeration Date
2011-10-31
Last Update Date
2011-10-31
Business Address
-- MARSHA L FOUNTAIN RN
2639 MIAMI ST 4TH FLOOR
SAINT LOUIS, MO 63118-3929
Phone number: 314-361-1630
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Mailing Address
-- MARSHA L FOUNTAIN RN
900 E LA HARPE
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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