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1134599350
SEAN MCDANIEL
JEFFERSON, LA
NPI
1134599350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ath.j00383)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
-- SEAN MCDANIEL
1221 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1011
Phone number: 985-892-2828
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Mailing Address
-- SEAN MCDANIEL
228 N COLUMBIA ST
COVINGTON, LA 70433-3267
Phone number:
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