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1356650808
PAUL FUGELSANG
ST AUGUSTINE, FL
NPI
1356650808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH10387)
Enumeration Date
2010-10-01
Last Update Date
2010-10-01
Business Address
PAUL FUGELSANG
18 ESTEY ST
ST AUGUSTINE, FL 32084-2843
Phone number: 904-460-3009
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Mailing Address
PAUL FUGELSANG
18 ESTEY ST
ST AUGUSTINE, FL 32084-2843
Phone number:
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