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1083088165
DR FAIRALL AND ASSOCIATES BEHAVIORAL HEALTH AND FAMILY MEDIATION SERVI
PONTE VEDRA BEACH, FL
NPI
1083088165
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Entity Type
Organization
Authorized Contact
LAURIE FAIRALL
Owner
904-463-2284
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY 7675)
Enumeration Date
2015-11-30
Last Update Date
2015-11-30
Business Address
DR FAIRALL AND ASSOCIATES BEHAVIORAL HEALTH AND FAMILY MEDIATION SERVI
4400 MARSH LANDING BLVD SUITE 1
PONTE VEDRA BEACH, FL 32082-7215
Phone number: 904-463-2284
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Mailing Address
DR FAIRALL AND ASSOCIATES BEHAVIORAL HEALTH AND FAMILY MEDIATION SERVI
117 OLD MILL CT
PONTE VEDRA BEACH, FL 32082-4133
Phone number: 904-463-2284
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