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Individual

IRENE GACUTAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14358 FISH EAGLE DR E, JACKSONVILLE, FL 32226-5857
(904) 210-8374
Mailing address
14358 FISH EAGLE DR E, JACKSONVILLE, FL 32226-5857

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/18/2022
Last updated
05/18/2022
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