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1053679365
JEAN T. PROULX
JACKSONVILLE, FL
NPI
1053679365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2012-04-25
Last Update Date
2012-04-25
Business Address
Mr. JEAN T. PROULX
3132 BEACH BOULEVARD
JACKSONVILLE, FL 32207-3710
Phone number: 904-398-7118
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Mailing Address
Mr. JEAN T. PROULX
3132 BEACH BOULEVARD
JACKSONVILLE, FL 32207-3710
Phone number: 904-398-7118
Copy
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