JEFFERY LEROUX

ORANGE PARK, FL
NPI1487732905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL721)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
JEFFERY LEROUX ATC
540 KINGSLEY AVE
ORANGE PARK, FL 32073-4847
Phone number: 904-264-2156
Mailing Address
JEFFERY LEROUX ATC
12793 86TH TER
LIVE OAK, FL 32060-8829
Phone number: 386-364-1381