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Individual

JOYCE LYNN FOUNTAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
91 HARPER AVE, FOUR OAKS, NC 27524-7948
(919) 963-6906
Mailing address
116 OLD MILL DR, ANGIER, NC 27501-9023

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
5776
NC

Other

Enumeration date
09/06/2008
Last updated
09/06/2008
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