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1134721277
JASON ROBERT AUCOIN
MANDEVILLE, LA
NPI
1134721277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200001)
Enumeration Date
2020-11-13
Last Update Date
2020-11-13
Business Address
JASON ROBERT AUCOIN ATC
1750 LOGAN LN
MANDEVILLE, LA 70448-7533
Phone number: 504-236-1163
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Mailing Address
JASON ROBERT AUCOIN ATC
1750 LOGAN LN
MANDEVILLE, LA 70448-7533
Phone number: 504-236-1163
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