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1710901475
TERRY FOUNTAIN
SANTA BARBARA, CA
NPI
1710901475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA50918)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- TERRY FOUNTAIN P.A.
518 GARDEN ST
SANTA BARBARA, CA 93101-1606
Phone number: 805-963-2445
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Mailing Address
-- TERRY FOUNTAIN P.A.
518 GARDEN ST
SANTA BARBARA, CA 93101-1606
Phone number: 805-963-2445
Copy
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