LAVELLE WILSON

WEST MONROE, LA
NPI1134827058
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-02-20
Last Update Date2023-02-20
Business Address
LAVELLE WILSON
198 PARKWAY CIR
WEST MONROE, LA 71292-8032
Phone number: 318-600-4225
Mailing Address
LAVELLE WILSON
198 PARKWAY CIR
WEST MONROE, LA 71292-8032
Phone number: 318-600-4225
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