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1437724374
TYLER WAYNE DAIGNEAULT
NATCHITOCHES, LA
NPI
1437724374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 325223)
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
TYLER WAYNE DAIGNEAULT LAT, ATC
468 CASPARI ST
NATCHITOCHES, LA 71457
Phone number: 253-278-5798
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Mailing Address
TYLER WAYNE DAIGNEAULT LAT, ATC
707 ELVIRA DR
NATCHITOCHES, LA 71457-3675
Phone number: 253-278-5798
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