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Individual

JERI FRANCOEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS ATC

Contact information

Practice address
533 N NOVA RD, SUITE 102, ORMOND BEACH, FL 32174-4447
(386) 615-4990
(386) 615-4951
Mailing address
PO BOX 1508, ORMOND BEACH, FL 32175-1508
(386) 615-4990
(386) 615-4951

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
2255A2300X
Athletic Trainer
Primary
AL56
FL

Other

Enumeration date
12/07/2005
Last updated
08/29/2007
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