ANGELIQUE BLAIR CARMOUCHE

SAN ANGELO, TX
NPI1396307476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2083S0010X Preventive Medicine, Sports Medicine
(Licence: TX  AT8258)
Additional Taxonomies2083S0010X Preventive Medicine, Sports Medicine
(Licence: LA  319966)
Enumeration Date2019-06-28
Last Update Date2021-01-25
Business Address
ANGELIQUE BLAIR CARMOUCHE MAT, LAT,ATC
ASU STATION #10899
SAN ANGELO, TX 76909-0001
Phone number: 940-435-4347
Mailing Address
ANGELIQUE BLAIR CARMOUCHE MAT, LAT,ATC
LSU ATHLETIC ADMINISTRATION BUILDING
BATON ROUGE, LA 70803-0001
Phone number: 225-578-8001
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