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1902864549
RENEE L FOUNTAIN
CHEYENNE, WY
NPI
1902864549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WY 2939)
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
Mrs. RENEE L FOUNTAIN Pharm. D
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7550
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Mailing Address
Mrs. RENEE L FOUNTAIN Pharm. D
1830 CHESHIRE DR
CHEYENNE, WY 82001-1684
Phone number: 307-514-2751
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