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ELLEN FOUNTAIN

Physician Assistant

NPI: 1801756739Individual

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

2026006490(MO)
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Contact & Hours

Address
1200 E BROADWAY
COLUMBIA, MO 65215

Quick Facts

NPI
1801756739
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
2

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