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1043672439
ANNALISE HIMMEL
THIBODAUX, LA
NPI
1043672439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 200309)
Enumeration Date
2016-03-24
Last Update Date
2016-03-24
Business Address
-- ANNALISE HIMMEL LAT, ATC
602 N ACADIA DR
THIBODAUX, LA 70302
Phone number: 985-859-6413
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Mailing Address
-- ANNALISE HIMMEL LAT, ATC
515 BACK PROJECT RD
SCHRIEVER, LA 70395
Phone number:
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