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1215663489
BENJAMIN AUSTIN MORALE
BATON ROUGE, LA
NPI
1215663489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 312308)
Enumeration Date
2022-07-28
Last Update Date
2022-07-28
Business Address
BENJAMIN AUSTIN MORALE MS, LAT, ATC
10310 THE GROVE BLVD
BATON ROUGE, LA 70836-6455
Phone number: 225-761-5200
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Mailing Address
BENJAMIN AUSTIN MORALE MS, LAT, ATC
2045 N 3RD ST APT 307
BATON ROUGE, LA 70802-5182
Phone number: 713-805-6911
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