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1740650951
BRAD STEVERSON
JEFFERSON, LA
NPI
1740650951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200097)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
Mr. BRAD STEVERSON ATC
1221 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1011
Phone number: 504-736-4800
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Mailing Address
Mr. BRAD STEVERSON ATC
4050 HAMBURG ST APT 7623
NEW ORLEANS, LA 70122-1731
Phone number:
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