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1790121127
LENNIS EZEKIEL WATSON
NATCHITOCHES, LA
NPI
1790121127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA J00347)
Enumeration Date
2013-05-13
Last Update Date
2013-05-13
Business Address
Mr. LENNIS EZEKIEL WATSON L.A.T.
501 KEYSER AVE
NATCHITOCHES, LA 71457-6018
Phone number: 318-214-4200
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Mailing Address
Mr. LENNIS EZEKIEL WATSON L.A.T.
100 MELROSE AVE APT. 1509
NATCHITOCHES, LA 71457-5939
Phone number: 318-228-9199
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