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Individual
GARRETT FONTAINE
Active
Individual
GARRETT FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28162
ME
390200000X
Student in an Organized Health Care Education/Training Program
EC211018
ME
Other
Enumeration date
06/07/2021
Last updated
02/02/2026
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