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1295106417
DANIEL RAY LAWRENCE
SLIDELL, LA
NPI
1295106417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-2758)
Enumeration Date
2015-10-14
Last Update Date
2015-10-14
Business Address
Mr. DANIEL RAY LAWRENCE LAT, ATC
1101 DOVERVILLE CT
SLIDELL, LA 70461-4401
Phone number: 770-367-6712
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Mailing Address
Mr. DANIEL RAY LAWRENCE LAT, ATC
1101 DOVERVILLE CT
SLIDELL, LA 70461-4401
Phone number: 770-367-6712
Copy
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