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1801294673
ALFRED RANDALL GONZALES
BATON ROUGE, LA
NPI
1801294673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATHJ00072)
Enumeration Date
2014-12-10
Last Update Date
2014-12-16
Business Address
Mr. ALFRED RANDALL GONZALES ATC
15755 JEFFERSON HWY
BATON ROUGE, LA 70817-6313
Phone number: 225-753-1200
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Mailing Address
Mr. ALFRED RANDALL GONZALES ATC
15755 JEFFERSON HWY
BATON ROUGE, LA 70817-6313
Phone number: 225-753-1200
Copy
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