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1639806672
JACQUELINE FOUNTAIN
MT STERLING, KY
NPI
1639806672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
JACQUELINE FOUNTAIN
499 INDIAN MOUND DR
MT STERLING, KY 40353-1096
Phone number: 859-497-9382
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Mailing Address
JACQUELINE FOUNTAIN
499 INDIAN MOUND DR
MT STERLING, KY 40353-1096
Phone number:
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