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Individual

MR. JUSTIN OGLESBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
1409 BEECH ST, FERNANDINA BEACH, FL 32034-3237
(904) 704-0465
Mailing address
1409 BEECH ST, FERNANDINA BEACH, FL 32034-3237
(904) 704-0465

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3575
FL

Other

Enumeration date
01/06/2015
Last updated
01/06/2015
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