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1225879588
DERREK CHEVEZ LATHON
BATON ROUGE, LA
NPI
1225879588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 011898409)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
DERREK CHEVEZ LATHON
50 FIELD HOUSE DR.
BATON ROUGE, LA 70802
Phone number: 225-715-8005
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Mailing Address
DERREK CHEVEZ LATHON
50 FILED HOUSE DR.
BATON ROUGE, LA 70802
Phone number:
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