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1265405872
PAUL BRICE TILMON
BREAUX BRIDGE, LA
NPI
1265405872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA J00305)
Enumeration Date
2006-02-13
Last Update Date
2007-07-08
Business Address
Mr. PAUL BRICE TILMON ATC
1046 ROBERT LN
BREAUX BRIDGE, LA 70517-7604
Phone number: 337-507-3940
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Mailing Address
Mr. PAUL BRICE TILMON ATC
1046 ROBERT LN
BREAUX BRIDGE, LA 70517-7604
Phone number: 337-507-3940
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