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1659940591
JUSTIN ERIC TAYLOR
FORT LAUDERDALE, FL
NPI
1659940591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
JUSTIN ERIC TAYLOR
2717 NW 62ND ST
FORT LAUDERDALE, FL 33309-1756
Phone number: 954-778-0042
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Mailing Address
JUSTIN ERIC TAYLOR
2717 NW 62ND ST
FORT LAUDERDALE, FL 33309-1756
Phone number: 954-774-3472
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