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1639411036
EVAN FAZZ
POMPANO BEACH, FL
NPI
1639411036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: AZ D05454468)
Enumeration Date
2013-03-23
Last Update Date
2013-03-23
Business Address
-- EVAN FAZZ
2708 NE 14TH ST APT 5
POMPANO BEACH, FL 33062-3564
Phone number: 888-880-9270
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Mailing Address
-- EVAN FAZZ
7830 E TOPEKA PL
YUMA, AZ 85365-8842
Phone number: 928-503-0404
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