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1871051532
MICHAEL D FOSTER
ST PETERSBURG, FL
NPI
1871051532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
MICHAEL D FOSTER
1426 40TH ST S
ST PETERSBURG, FL 33711-2555
Phone number: 727-417-2501
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Mailing Address
MICHAEL D FOSTER
1426 40TH ST S
ST PETERSBURG, FL 33711-2555
Phone number: 727-417-2501
Copy
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