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1568835767
AMELIA STARR CASTELL
THIBODAUX, LA
NPI
1568835767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200102)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
Mrs. AMELIA STARR CASTELL LAT, ATC
602 N ACADIA RD
THIBODAUX, LA 70301-4823
Phone number: 985-493-4502
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Mailing Address
Mrs. AMELIA STARR CASTELL LAT, ATC
PO BOX 1118
THIBODAUX, LA 70302-1118
Phone number: 985-493-4502
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