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Mimi Fountain, NCBTMB, RN
NPI 1306004965 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1005 Waterfall Ln
Durango, CO 81301 - Phone
- (970) 759-8872
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado