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Jacqueline Fountain
Optician in Mt Sterling, Kentucky
NPI 1639806672

Jacqueline Fountain is a Optician based in Mt Sterling, KY and is specialized in Optician. Jacqueline Fountain practices in Mt Sterling, KY. The NPI Number for Jacqueline Fountain is 1639806672 and holds a License No. (Kentucky).

The current practice location address for Jacqueline Fountain is 499 Indian Mound Dr, Mt Sterling, KY and can be reached out via phone at 859-497-9382.

Location: 499 Indian Mound Dr, Mt Sterling, KY, 40353-1096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639806672
Provider Name
Jacqueline Fountain
Credential
Provider Entity Type
Individual
Gender
Female
Address
499 Indian Mound Dr, Mt Sterling, KY, 40353-1096
Phone Number
859-497-9382
Fax Number
Provider Enumeration Date
08/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
499 Indian Mound Dr
City
Mt Sterling
State
Kentucky
Zip
40353-1096
Phone Number
859-497-9382
Fax Number
person
Provider Business Mailing Address Details
Address
499 Indian Mound Dr
City
Mt Sterling
State
Kentucky
Zip
40353-1096
Phone Number
859-497-9382
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
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