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1417358441
BENEDICT WILLIAM STOLLBERG
METAIRIE, LA
NPI
1417358441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0558)
Enumeration Date
2014-09-09
Last Update Date
2014-09-09
Business Address
-- BENEDICT WILLIAM STOLLBERG ATC, LAT
5800 AIRLINE DR
METAIRIE, LA 70003-3876
Phone number: 504-733-0255
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Mailing Address
-- BENEDICT WILLIAM STOLLBERG ATC, LAT
537 AVENUE OF PATRIOTS ST
STARKVILLE, MS 39759-3103
Phone number: 262-689-1236
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