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1023785920
JONTAL FAWCETT
JACKSONVILLE, FL
NPI
1023785920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-08-27
Last Update Date
2022-02-09
Business Address
JONTAL FAWCETT
3663 CROWN POINT CT
JACKSONVILLE, FL 32257-5967
Phone number: 904-288-8910
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Mailing Address
JONTAL FAWCETT
24 PINDO PALM DR
PONTE VEDRA, FL 32081-6085
Phone number: 559-707-4358
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