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1487001970
TIMOTHY QUINTON NEASE
THIBODAUX, LA
NPI
1487001970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200455)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
Mr. TIMOTHY QUINTON NEASE MS, LAT, ATC, CES
906 E 1ST ST SPORTS MEDICINE-BASKETBALL
THIBODAUX, LA 70301-6701
Phone number: 912-663-5841
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Mailing Address
Mr. TIMOTHY QUINTON NEASE MS, LAT, ATC, CES
906 E 1ST ST
THIBODAUX, LA 70301-6701
Phone number:
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