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1992933469
JESSICA LOUCAS FONTAINE
ALPHARETTA, GA
NPI
1992933469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: GA RN280517)
Enumeration Date
2009-06-23
Last Update Date
2022-06-06
Business Address
JESSICA LOUCAS FONTAINE CPNP
3795 MANSELL RD
ALPHARETTA, GA 30022-8247
Phone number: 404-785-8540
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Mailing Address
JESSICA LOUCAS FONTAINE CPNP
3795 MANSELL RD
ALPHARETTA, GA 30022-8247
Phone number: 404-785-8540
Copy
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