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1992738702
ELISA J LAFOUNTAIN
JOHNSON CITY, TN
NPI
1992738702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 1788)
Enumeration Date
2006-07-08
Last Update Date
2017-02-15
Business Address
-- ELISA J LAFOUNTAIN DO
408 N STATE OF FRANKLIN RD SUITE 24
JOHNSON CITY, TN 37604-6089
Phone number: 423-431-1810
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Mailing Address
-- ELISA J LAFOUNTAIN DO
408 N STATE OF FRANKLIN RD SUITE 24
JOHNSON CITY, TN 37604-6089
Phone number: 423-431-1810
Copy
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