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1013514710
JODY POWELL
MONROE, LA
NPI
1013514710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200402)
Enumeration Date
2020-10-06
Last Update Date
2020-10-06
Business Address
JODY POWELL ATC, LAT, CCMA, CES
1600 ARIZONA AVE
MONROE, LA 71202-3602
Phone number: 318-387-2932
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Mailing Address
JODY POWELL ATC, LAT, CCMA, CES
139 VICTORY LN
WEST MONROE, LA 71291-1739
Phone number: 318-372-2612
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