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1619686839
BREANA HYDER
BATON ROUGE, LA
NPI
1619686839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 310318)
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
BREANA HYDER ATC, LAT
10310 THE GROVE BLVD
BATON ROUGE, LA 70836-6455
Phone number: 225-377-4728
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Mailing Address
BREANA HYDER ATC, LAT
10310 THE GROVE BLVD
BATON ROUGE, LA 70836-6455
Phone number:
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