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1285950832
JOHN THOMAS SUPER
ORLANDO, FL
NPI
1285950832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL IMT1331)
Enumeration Date
2010-04-07
Last Update Date
2010-04-07
Business Address
Mr. JOHN THOMAS SUPER MA
938 LAKE BALDWIN LN
ORLANDO, FL 32814-6651
Phone number: 407-770-1200
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Mailing Address
Mr. JOHN THOMAS SUPER MA
PO BOX 141502
ORLANDO, FL 32814-1502
Phone number: 407-770-1201
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