Jean T. Proulx

NPI 1053679365 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1053679365
Gender Male
Enumeration Date 04/25/2012
Last Updated 04/25/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3132 BEACH BOULEVARD
JACKSONVILLE FL, 32207-3710, US
Phone (904) 398-7118
Fax
Business Location
3132 BEACH BOULEVARD
JACKSONVILLE FL, 32207-3710, US
Phone (904) 398-7118
Fax (904) 398-7114
Toxanomy
Taxonomy Code 335E00000X
License State
License Number
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According to our database, Mr. Jean T. Proulx NPI is 1053679365, taxonomy code is 335E00000X Jean T. Proulx physically located at 3132 Beach Boulevard, Jacksonville FL, 32207-3710. NPI Number Jean T. Proulx has the Individual type.

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1053679365 NPI number is provided on an as is basis without warranty of any kind. 1053679365 is maintained by the National Plan & Provider Enumeration System. The contents of Jean T. Proulx are for informational purposes only.