SUSAN CAROLE FAIR

MERRITT ISLAND, FL
NPI1457351223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS7489)
Enumeration Date2005-07-22
Last Update Date2007-08-01
Business Address
-- SUSAN CAROLE FAIR DO
595 N COURTENAY PKWY SUITE 102
MERRITT ISLAND, FL 32953-4851
Phone number: 321-455-1226
Mailing Address
-- SUSAN CAROLE FAIR DO
595 N COURTENAY PKWY SUITE 102
MERRITT ISLAND, FL 32953-4851
Phone number: 321-455-1226
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