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1417028002
JAN L FAUST
DAVIE, FL
NPI
1417028002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY0004379)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Dr. JAN L FAUST Ph.D.
3301 COLLEGE AVE
DAVIE, FL 33314-7721
Phone number: 954-262-5713
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Mailing Address
Dr. JAN L FAUST Ph.D.
3301 COLLEGE AVE
DAVIE, FL 33314-7721
Phone number: 954-262-5713
Copy
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