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1063072767
BEETA AKHAVAN
PORT ST LUCIE, FL
NPI
1063072767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN24140)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
BEETA AKHAVAN
1722 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-2504
Phone number: 772-337-8600
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Mailing Address
BEETA AKHAVAN
2050 CHATSWORTH WAY
TALLAHASSEE, FL 32309-2966
Phone number:
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