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Individual

DR. GABRIEL VICTOR FONTAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
8030 S 1400 E, SANDY, UT 84093-6609
(207) 212-9170
Mailing address
8030 S 1400 E, SANDY, UT 84093-6609
(207) 212-9170

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
8327130-1701
UT

Other

Enumeration date
12/15/2015
Last updated
12/15/2015
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