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1417448101
CAROL ANN DEFAZIO
VERO BEACH, FL
NPI
1417448101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT13709)
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
CAROL ANN DEFAZIO MSOT
552 10TH PL
VERO BEACH, FL 32960-6823
Phone number: 772-494-3010
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Mailing Address
CAROL ANN DEFAZIO MSOT
552 10TH PL
VERO BEACH, FL 32960-6823
Phone number: 772-494-3010
Copy
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