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1194096651
CRISTY C FOSSUM
POMPANO BEACH, FL
NPI
1194096651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-01-15
Last Update Date
2012-01-15
Business Address
Ms. CRISTY C FOSSUM
2708 NE 14TH ST SUITE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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Mailing Address
Ms. CRISTY C FOSSUM
1215 BEAUFORT ST
COLUMBIA, SC 29201-1401
Phone number: 803-447-1072
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