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1124773569
HEATHER LEIGH THOMAS
FORT POLK, LA
NPI
1124773569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 320823)
Enumeration Date
2022-02-15
Last Update Date
2022-02-15
Business Address
HEATHER LEIGH THOMAS ATC
2030 14TH ST BLDG 1830
FORT POLK, LA 71459-5302
Phone number: 559-908-5545
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Mailing Address
HEATHER LEIGH THOMAS ATC
904 MARJORIE ST
LONG BEACH, MS 39560-5349
Phone number: 228-313-1680
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