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LEROY FOUNTAIN

Counselor

NPI: 1942070073Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

Contact & Hours

Address
49713 GORMAN POST RD
GORMAN, CA 93243

Quick Facts

NPI
1942070073
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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