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1124118369
PETER FAIRBANKS DURAND
GAINESVILLE, FL
NPI
1124118369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 20105)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Mr. PETER FAIRBANKS DURAND PhD
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number: 352-376-1611
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Mailing Address
Mr. PETER FAIRBANKS DURAND PhD
4415 SUMMER HAVEN BLVD S
JACKSONVILLE, FL 32258-1448
Phone number: 352-376-1611
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