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1578855326
DANIELLE FOUNTAIN
ST AUGUSTINE, FL
NPI
1578855326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA48413)
Enumeration Date
2011-05-12
Last Update Date
2011-10-12
Business Address
DANIELLE FOUNTAIN LMT, NCTMB, MMP
212 SAN MARCO AVE STE C
ST AUGUSTINE, FL 32084-2771
Phone number: 904-347-1855
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Mailing Address
DANIELLE FOUNTAIN LMT, NCTMB, MMP
10 DUPONT LN
ST AUGUSTINE, FL 32084-3208
Phone number: 904-347-1855
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