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Individual
MS. KATHRYN FONTWIT
Active
Individual
MS. KATHRYN FONTWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059758
SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
—
Enumeration date
03/23/2007
Last updated
07/08/2007
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