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1629695200
BLAKE RYAN HOCKADAY
JEFFERSON, LA
NPI
1629695200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 323215)
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
BLAKE RYAN HOCKADAY MAT, LAT, ATC
1201 S CLEARVIEW PKWY BLDG B
JEFFERSON, LA 70121-1015
Phone number: 504-736-4800
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Mailing Address
BLAKE RYAN HOCKADAY MAT, LAT, ATC
1717 S DUPRE ST
NEW ORLEANS, LA 70125-2922
Phone number: 870-557-2093
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