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1902467533
KATIE ELIZABETH FONTAINE
WAKE FOREST, NC
NPI
1902467533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-09144)
Enumeration Date
2019-06-25
Last Update Date
2024-03-28
Business Address
KATIE ELIZABETH FONTAINE PA-C
515 DOCTOR CALVIN JONES HWY, STE A-1
WAKE FOREST, NC 27587
Phone number: 888-663-6631
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Mailing Address
KATIE ELIZABETH FONTAINE PA-C
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 94111-3723
Phone number: 888-663-6631
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