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1477962181
KEILA MABEL FATNASSI
BRANDON, FL
NPI
1477962181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TA0400X Psychologist, Addiction (Substance Use Disorder)
Enumeration Date
2014-08-06
Last Update Date
2014-08-06
Business Address
-- KEILA MABEL FATNASSI MA
510 VONDERBURG DR # 301
BRANDON, FL 33511-5954
Phone number: 813-881-1000
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Mailing Address
-- KEILA MABEL FATNASSI MA
700 S HARBOUR ISLAND BLVD UNIT # 313
TAMPA, FL 33602-5712
Phone number: 813-846-7904
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