BRADLEY JAMES REAUX

NEW IBERIA, LA
NPI1356974927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  306607)
Enumeration Date2020-02-21
Last Update Date2020-02-21
Business Address
BRADLEY JAMES REAUX LAT, ATC, ITAT, CAFS
1307 OLD JEANERETTE RD STE 102
NEW IBERIA, LA 70563-5801
Phone number: 337-552-5668
Mailing Address
BRADLEY JAMES REAUX LAT, ATC, ITAT, CAFS
111 DIJON DR
LAFAYETTE, LA 70506-5101
Phone number: 337-552-5668
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