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1033764766
TARA P SOSA
JEFFERSON, LA
NPI
1033764766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.J00327)
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
TARA P SOSA
1201 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1015
Phone number: 504-628-2565
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Mailing Address
TARA P SOSA
1201 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1015
Phone number:
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