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1598473860
JERRY D BLACKWELL JR
THIBODAUX, LA
NPI
1598473860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA J00235)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
Mr. JERRY D BLACKWELL JR LAT
2498 PINERIDGE ST
THIBODAUX, LA 70301-3959
Phone number: 985-446-7573
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Mailing Address
Mr. JERRY D BLACKWELL JR LAT
2498 PINERIDGE ST
THIBODAUX, LA 70301-3959
Phone number: 985-446-7573
Copy
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