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1487732905
JEFFERY LEROUX
ORANGE PARK, FL
NPI
1487732905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL721)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
JEFFERY LEROUX ATC
540 KINGSLEY AVE
ORANGE PARK, FL 32073-4847
Phone number: 904-264-2156
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Mailing Address
JEFFERY LEROUX ATC
12793 86TH TER
LIVE OAK, FL 32060-8829
Phone number: 386-364-1381
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