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1326557976
DAVID MICHAEL TATERA
JACKSONVILLE, FL
NPI
1326557976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO 0002287)
Enumeration Date
2017-09-27
Last Update Date
2022-07-21
Business Address
Dr. DAVID MICHAEL TATERA Ph.D.
554 KEILY STREET
JACKSONVILLE, FL 32212
Phone number: 757-953-7550
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Mailing Address
Dr. DAVID MICHAEL TATERA Ph.D.
554 KEILY STREET
JACKSONVILLE, FL 32212
Phone number: 757-953-7550
Copy
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