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1154546802
MAX TRAVIS MAHAFFEY
ALEXANDRIA, LA
NPI
1154546802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083S0010X Preventive Medicine, Sports Medicine
(Licence: LA ATH.200021)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- MAX TRAVIS MAHAFFEY ATC, LAT
3347 MASONIC DR
ALEXANDRIA, LA 71301-3842
Phone number: 318-448-4959
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Mailing Address
-- MAX TRAVIS MAHAFFEY ATC, LAT
1410 COLLEGE ST
PINEVILLE, LA 71360-5215
Phone number:
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