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JOHN RAYMOND CORMIER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AP, RN

Contact information

Practice address
1009 SW MAIN BLVD STE 110, LAKE CITY, FL 32025-5784
(386) 628-1088
Mailing address
595 SW INFINITY PL, LAKE CITY, FL 32024-5378
(386) 628-1088

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
3390372
FL
171100000X
Acupuncturist
Primary
3926
FL

Other

Enumeration date
03/17/2018
Last updated
03/17/2018
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