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1760476196
AMY E VENABLE
LAFAYETTE, LA
NPI
1760476196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.J00159)
Enumeration Date
2005-08-31
Last Update Date
2007-07-08
Business Address
Ms. AMY E VENABLE ATC,LAT
128 E BUTCHER SWITCH RD
LAFAYETTE, LA 70507-3528
Phone number: 337-233-8080
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Mailing Address
Ms. AMY E VENABLE ATC,LAT
111 AVRON DR
CARENCRO, LA 70520-6136
Phone number: 337-896-9637
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