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Individual

FALLON FRISCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6867 SOUTHPOINT DR N STE 101, JACKSONVILLE, FL 32216-8005
(904) 619-6971
Mailing address
13700 RICHMOND PARK DR N APT 501, JACKSONVILLE, FL 32224-4274

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
F620-241-87-505-1
FL

Other

Enumeration date
01/17/2014
Last updated
01/17/2014
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