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1659863306
ALEX ANGELLE
BREAUX BRIDGE, LA
NPI
1659863306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200381)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
ALEX ANGELLE
1031 CLINE DR
BREAUX BRIDGE, LA 70517-7625
Phone number: 337-303-4125
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Mailing Address
ALEX ANGELLE
1400 REES ST STE D
BREAUX BRIDGE, LA 70517-4308
Phone number: 337-442-6077
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