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1063772424
CHAD ANTHONY DUFRENE
HAMMOND, LA
NPI
1063772424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200196)
Enumeration Date
2012-05-19
Last Update Date
2012-05-19
Business Address
Mr. CHAD ANTHONY DUFRENE ATC
1076 OAK HOLLOW DR
HAMMOND, LA 70401-8258
Phone number: 504-232-9589
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Mailing Address
Mr. CHAD ANTHONY DUFRENE ATC
1076 OAK HOLLOW DR
HAMMOND, LA 70401-8258
Phone number: 504-232-9589
Copy
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