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1942322847
LORNA BETH FOUNTAIN
ST PETERSBURG, FL
NPI
1942322847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME97354)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- LORNA BETH FOUNTAIN M.D.
700 6TH ST S
ST PETERSBURG, FL 33701-4815
Phone number: 727-893-6116
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Mailing Address
-- LORNA BETH FOUNTAIN M.D.
700 6TH ST S
ST PETERSBURG, FL 33701-4815
Phone number: 727-893-6116
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