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1053304485
RYAN H COLLURA
LAFAYETTE, LA
NPI
1053304485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.J00340)
Enumeration Date
2005-08-31
Last Update Date
2007-07-08
Business Address
Mr. RYAN H COLLURA L.A.T.
128 E BUTCHER SWITCH RD
LAFAYETTE, LA 70507-3528
Phone number: 337-233-8080
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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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