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1992141147
THEODORE JOHN FONFARA
PORT CHARLOTTE, FL
NPI
1992141147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: FL AS 3621)
Enumeration Date
2013-05-15
Last Update Date
2013-05-15
Business Address
Mr. THEODORE JOHN FONFARA HAS
2811 TAMIAMI TRL STE.A
PORT CHARLOTTE, FL 33952-5173
Phone number: 941-629-8808
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Mailing Address
Mr. THEODORE JOHN FONFARA HAS
2811 TAMIAMI TRL STE.A
PORT CHARLOTTE, FL 33952-5173
Phone number: 941-629-8808
Copy
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