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1679592950
KRISTIN J FOUNTAIN
LACONNER, WA
NPI
1679592950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00008144)
Enumeration Date
2006-07-18
Last Update Date
2007-07-09
Business Address
Mrs. KRISTIN J FOUNTAIN
413 MORRIS ST
LACONNER, WA 98257
Phone number: 360-466-7458
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Mailing Address
Mrs. KRISTIN J FOUNTAIN
PO BOX 505 413 MORRIS ST
LA CONNER, WA 98257-0505
Phone number: 360-466-7458
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