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1750483277
GERALD DAVID FONTAINE
PROVIDENCE, RI
NPI
1750483277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: RI PS116)
Enumeration Date
2006-09-04
Last Update Date
2007-07-08
Business Address
Dr. GERALD DAVID FONTAINE PHD
414 BROADWAY
PROVIDENCE, RI 02909-1621
Phone number: 401-272-5665
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Mailing Address
Dr. GERALD DAVID FONTAINE PHD
414 BROADWAY
PROVIDENCE, RI 02909-1621
Phone number: 401-272-5665
Copy
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