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1013460005
BARTON BOTT
FERNANDINA BEACH, FL
NPI
1013460005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH6275)
Enumeration Date
2016-07-26
Last Update Date
2016-08-09
Business Address
Mr. BARTON BOTT MH
910 S 8TH ST SUITE 121
FERNANDINA BEACH, FL 32034-3744
Phone number: 904-432-8603
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Mailing Address
Mr. BARTON BOTT MH
2478 1ST AVE A
FERNANDINA BEACH, FL 32034-6386
Phone number: 904-432-8603
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