Individual
MR. MICHAEL ANTHONY LEJEUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BONHOMME RICHARD ST., BLDG 2480, JACKSONVILLE, FL 32228-0046
(814) 282-5589
Mailing address
6486 FRIARS RD, APT 108, SAN DIEGO, CA 92108-1064
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
06/29/2020
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