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1073765004
STEPHEN BORIS FESUK
KILLEEN, TX
NPI
1073765004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 201272)
Enumeration Date
2008-10-22
Last Update Date
2008-10-22
Business Address
Mr. STEPHEN BORIS FESUK LMFT
100 E AVENUE A
KILLEEN, TX 76541-4763
Phone number: 254-526-4146
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Mailing Address
Mr. STEPHEN BORIS FESUK LMFT
304 S 22ND ST
TEMPLE, TX 76501-4726
Phone number: 254-526-4146
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