CHARLES KEITH HAAGA

SLIDELL, LA
NPI1679538789
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: LA  J00124)
Enumeration Date2006-04-20
Last Update Date2007-07-08
Business Address
MR. CHARLES KEITH HAAGA ATC
1104 CHARLIE DR
SLIDELL, LA 70461-5346
Phone number: 985-781-1635
Mailing Address
MR. CHARLES KEITH HAAGA ATC
1104 CHARLIE DR
SLIDELL, LA 70461-5346
Phone number: 985-781-1635
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