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Individual

LAURIE FONTAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
61 HOLTEN ST UNIT 1, DANVERS, MA 01923-1937
(781) 913-4280
Mailing address
61 HOLTEN ST UNIT 1, DANVERS, MA 01923-1937
(781) 913-4280

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2353
MA

Other

Enumeration date
11/22/2015
Last updated
11/22/2015
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