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1194951269
BRYCE FOULKE
SAINT CLOUD, FL
NPI
1194951269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL IMT 1033)
Enumeration Date
2009-06-03
Last Update Date
2009-06-03
Business Address
BRYCE FOULKE
1801 CHARLES CT
SAINT CLOUD, FL 34771-8806
Phone number: 321-624-5948
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Mailing Address
BRYCE FOULKE
1801 CHARLES CT
SAINT CLOUD, FL 34771-8806
Phone number:
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