IRA DEAN FONTENOT

COLLIERVILLE, TN
NPI1598034142
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  12348)
Enumeration Date2011-12-27
Last Update Date2011-12-27
Business Address
IRA DEAN FONTENOT P.D.
998 W TREE DR
COLLIERVILLE, TN 38017-1329
Phone number: 901-850-5978
Mailing Address
IRA DEAN FONTENOT P.D.
998 W TREE DR
COLLIERVILLE, TN 38017-1329
Phone number: 901-850-5978
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