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1780612234
GERARD ANTHONY WHITE
THIBODAUX, LA
NPI
1780612234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA J00108)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
Mr. GERARD ANTHONY WHITE MEd, ATC, LAT
NICHOLLS STATE UNIVERSITY 906 EAST FIRST STREET
THIBODAUX, LA 70310-0001
Phone number: 985-493-2612
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Mailing Address
Mr. GERARD ANTHONY WHITE MEd, ATC, LAT
303 HERMITAGE DR
THIBODAUX, LA 70301-2916
Phone number: 985-448-2874
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