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1508236670
NIA STEWART
JEFFERSON, LA
NPI
1508236670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200440)
Enumeration Date
2015-10-01
Last Update Date
2015-10-01
Business Address
-- NIA STEWART
1221 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1011
Phone number: 504-736-4800
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Mailing Address
-- NIA STEWART
4309 W NAPOLEON AVE B208
METAIRIE, LA 70001-2579
Phone number:
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