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1326561218
EBONY GLASCOCK
HAMMOND, LA
NPI
1326561218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 306450)
Enumeration Date
2017-07-23
Last Update Date
2017-07-23
Business Address
EBONY GLASCOCK ATC, EMT
800 GALLOWAY DR
HAMMOND, LA 70402-0001
Phone number: 985-549-6501
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Mailing Address
EBONY GLASCOCK ATC, EMT
1502 W CHURCH ST APT E
HAMMOND, LA 70401-2959
Phone number: 770-833-2908
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