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1386096006
JASON DANIEL
FORT MYERS, FL
NPI
1386096006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-07-06
Last Update Date
2016-07-06
Business Address
-- JASON DANIEL MS
2789 ORTIZ AVE
FORT MYERS, FL 33905-7806
Phone number: 239-275-3222
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Mailing Address
-- JASON DANIEL MS
3763 EVANS AVE
FORT MYERS, FL 33901-9302
Phone number: 239-275-3222
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