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1548769862
ALEXANDRA N DANIEL
HAMMOND, LA
NPI
1548769862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 310289)
Enumeration Date
2018-02-02
Last Update Date
2020-01-06
Business Address
ALEXANDRA N DANIEL ATC
SLU 10720, 900 A WEST UNIVERSITY
HAMMOND, LA 70402-8623
Phone number: 985-549-2000
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Mailing Address
ALEXANDRA N DANIEL ATC
3726 PINE VILLAGE PL
LOGANVILLE, GA 30052-8623
Phone number: 678-524-3331
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