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1558032789
TRAVIS J SOILEAU
LAFAYETTE, LA
NPI
1558032789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.J00350)
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
TRAVIS J SOILEAU
201 REINHARDT DR
LAFAYETTE, LA 70506-4252
Phone number: 337-482-6335
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Mailing Address
TRAVIS J SOILEAU
201 REINHARDT DR
LAFAYETTE, LA 70506-4252
Phone number: 337-482-6335
Copy
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