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1790255396
IRIANNE NICHOLAS
JEFFERSON, LA
NPI
1790255396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
IRIANNE NICHOLAS ATC, LAT
1201 SOUTH CLEARVIEW PARKWAY
JEFFERSON, LA 70121
Phone number: 504-715-3743
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Mailing Address
IRIANNE NICHOLAS ATC, LAT
750 BELLEMEADE BLVD
GRETNA, LA 70056
Phone number:
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