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Individual

BARNES LEREBOURS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4106 W LAKE MARY BLVD STE 320, LAKE MARY, FL 32746-3344
(407) 435-7629
Mailing address
4024 LAKE UNDERHILL RD APT D, ORLANDO, FL 32803-7057
(407) 435-7629

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35138
FL

Other

Enumeration date
12/10/2019
Last updated
12/10/2019
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