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1194419499
COREY ELVIR
BATON ROUGE, LA
NPI
1194419499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 300121)
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
Mr. COREY ELVIR LAT, ATC
10310 THE GROVE BLVD
BATON ROUGE, LA 70836-6455
Phone number: 225-907-0609
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Mailing Address
Mr. COREY ELVIR LAT, ATC
10310 THE GROVE BLVD
BATON ROUGE, LA 70836-6455
Phone number:
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