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1881025963
JAMES RAYMOND PAVLOVSKY
COCOA, FL
NPI
1881025963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-27
Last Update Date
2016-01-12
Business Address
Mr. JAMES RAYMOND PAVLOVSKY CAP, CADAC II
7 N COCOA BLVD
COCOA, FL 32922-7749
Phone number: 321-631-4578
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Mailing Address
Mr. JAMES RAYMOND PAVLOVSKY CAP, CADAC II
82 E TOWNE PL
TITUSVILLE, FL 32796-3023
Phone number: 321-631-4578
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