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1396852364
THOMAS R FANN
CASSELBERRY, FL
NPI
1396852364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: FL PO0001035)
Enumeration Date
2006-08-24
Last Update Date
2010-11-08
Business Address
-- THOMAS R FANN DPM
1120 STATE RD 436 SUITE 1400
CASSELBERRY, FL 32707
Phone number: 407-671-8010
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Mailing Address
-- THOMAS R FANN DPM
1120 STATE RD 436 SUITE 1400
CASSELBERRY, FL 32707
Phone number: 407-671-8010
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