RYAN H COLLURA

LAFAYETTE, LA
NPI1053304485
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: LA  ATH.J00340)
Enumeration Date2005-08-31
Last Update Date2007-07-08
Business Address
MR. RYAN H COLLURA L.A.T.
128 E BUTCHER SWITCH RD
LAFAYETTE, LA 70507-3528
Phone number: 337-233-8080
Mailing Address
MR. RYAN H COLLURA L.A.T.
100 WINCHESTER DR 608
LAFAYETTE, LA 70506-6096
Phone number: 337-988-6602
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