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1669237632
GABRIELLE FOUNTAIN
AUGUSTA, GA
NPI
1669237632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT014891)
Enumeration Date
2024-02-19
Last Update Date
2024-02-24
Business Address
GABRIELLE FOUNTAIN LMT
680 CRANE CREEK DR APT 427
AUGUSTA, GA 30907-3091
Phone number: 850-450-8156
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Mailing Address
GABRIELLE FOUNTAIN LMT
680 CRANE CREEK DR APT 427
AUGUSTA, GA 30907-3091
Phone number: 850-450-8156
Copy
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