FRANK RAYMOND DECARLO

JEFFERSON, LA
NPI1629599014
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200501)
Enumeration Date2017-07-06
Last Update Date2017-07-06
Business Address
Mr. FRANK RAYMOND DECARLO LAT, ATC
1201 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1015
Phone number: 941-224-1177
Mailing Address
Mr. FRANK RAYMOND DECARLO LAT, ATC
1201 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1015
Phone number:
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