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Individual

DR. JON MICHAEL REPOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
10950 SAN JOSE BLVD STE 14, JACKSONVILLE, FL 32223-6671
(904) 268-6568
(904) 886-9804
Mailing address
213 AFTON LN, JACKSONVILLE, FL 32259-5410
(516) 652-3262
(904) 886-9804

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH 8960
FL

Other

Enumeration date
01/02/2007
Last updated
05/05/2014
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