Individual
JULIAN CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9803 CREEKFRONT RD APT 307, JACKSONVILLE, FL 32256-8449
(815) 735-0506
Mailing address
9803 CREEKFRONT RD APT 307, JACKSONVILLE, FL 32256-8449
(815) 735-0506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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