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1255690525
LARA ALANE EDWARDS
LIVINGSTON, AL
NPI
1255690525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1275)
Enumeration Date
2012-05-08
Last Update Date
2012-05-08
Business Address
Miss LARA ALANE EDWARDS MAT, ATC, LAT
1 COLLEGE DR STATION 14
LIVINGSTON, AL 35470-2098
Phone number: 205-652-3450
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Mailing Address
Miss LARA ALANE EDWARDS MAT, ATC, LAT
1 COLLEGE DR STATION 14
LIVINGSTON, AL 35470-2098
Phone number:
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