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1386168128
ANNELISE DAVIES
HAMMOND, LA
NPI
1386168128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200506)
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
ANNELISE DAVIES LAT, ATC
500 W UNIVERSITY AVE
HAMMOND, LA 70401-1304
Phone number: 985-549-2200
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Mailing Address
ANNELISE DAVIES LAT, ATC
901 PECAN ST APT 47
HAMMOND, LA 70401-2373
Phone number: 215-284-4226
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