Individual
MICHELLE K DUCLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
1325 SAN MARCO BLVD STE 102, JACKSONVILLE, FL 32207-8549
(904) 858-7045
Mailing address
9727 TOUCHTON RD APT 401, JACKSONVILLE, FL 32246-8235
(904) 379-8677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2074
FL
Other
Enumeration date
07/18/2006
Last updated
08/17/2009
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