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Individual
SHANA FONTE
Active
Individual
SHANA FONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3776
CO
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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