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1720202963
STEPHEN CHARLES FONTAINE
ROCKVILLE, MD
NPI
1720202963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MD 19959)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Mr. STEPHEN CHARLES FONTAINE PT,MPT,DPT
11921 ROCKVILLE PIKE # 404
ROCKVILLE, MD 20852-2737
Phone number: 301-881-7246
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Mailing Address
Mr. STEPHEN CHARLES FONTAINE PT,MPT,DPT
18704 WILLOW GROVE RD
OLNEY, MD 20832-1226
Phone number: 301-774-4728
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