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1689090979
JOHNATHAN ERIC FOURTHMAN
TAMPA, FL
NPI
1689090979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2014-03-11
Last Update Date
2014-03-11
Business Address
-- JOHNATHAN ERIC FOURTHMAN
401 E JACKSON ST STE 2340
TAMPA, FL 33602-5233
Phone number: 813-841-5032
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Mailing Address
-- JOHNATHAN ERIC FOURTHMAN
401 E JACKSON ST STE 2340
TAMPA, FL 33602-5233
Phone number: 813-841-5032
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