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1952508764
EDMUND VINCENT FONTAINE
OKLAHOMA CITY, OK
NPI
1952508764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YS0200X Counselor, School
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
Mr. EDMUND VINCENT FONTAINE M.S.
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112-2212
Phone number: 405-858-2700
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Mailing Address
Mr. EDMUND VINCENT FONTAINE M.S.
3230 EVERETT DR
EDMOND, OK 73013-7441
Phone number: 405-475-0233
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