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1316566284
TODD MICHAEL FENNICK
FORT LAUDERDALE, FL
NPI
1316566284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL PSI36142)
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
TODD MICHAEL FENNICK
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-2510
Phone number: 954-355-4400
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Mailing Address
TODD MICHAEL FENNICK
7085 NOVA DR APT 317
DAVIE, FL 33317-8112
Phone number: 724-944-5990
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