CORDARIUS WAYNE

MINDEN, LA
NPI1568984581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  300123)
Enumeration Date2017-07-11
Last Update Date2017-07-11
Business Address
CORDARIUS WAYNE ATC, LAT
216 W UNION ST STE A
MINDEN, LA 71055-3216
Phone number: 318-299-6334
Mailing Address
CORDARIUS WAYNE ATC, LAT
100 S LAKE CIR
MONROE, LA 71203-6947
Phone number: 318-537-0280
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