Individual
JASON ROBERT AUCOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1750 LOGAN LN, MANDEVILLE, LA 70448-7533
(504) 236-1163
Mailing address
1750 LOGAN LN, MANDEVILLE, LA 70448-7533
(504) 236-1163
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200001
LA
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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