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1245595941
JOHN A. FAZIO
MELBOURNE, FL
NPI
1245595941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-07-09
Last Update Date
2012-07-09
Business Address
-- JOHN A. FAZIO
400 E SHERIDAN RD
MELBOURNE, FL 32901-3122
Phone number: 321-722-5200
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Mailing Address
-- JOHN A. FAZIO
2000 COMMERCE DR
WEST MELBOURNE, FL 32904-2335
Phone number: 321-722-5200
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