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Individual

HALEY ELIZABETH FRASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
10929 CRICHTON RD, JACKSONVILLE, FL 32221-2871
(904) 635-0702
Mailing address
10929 CRICHTON RD, JACKSONVILLE, FL 32221-2871
(903) 635-0702

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000031510
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000031510
BOC
Enumeration date
05/24/2018
Last updated
05/24/2018
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