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1821554635
JOLIE TANG
BATON ROUGE, LA
NPI
1821554635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-02-17
Last Update Date
2019-06-11
Business Address
JOLIE TANG ATC
1 SWAN ST
BATON ROUGE, LA 70813-2260
Phone number: 225-771-2712
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Mailing Address
JOLIE TANG ATC
116 ELIZABETH AVE
ISELIN, NJ 08830-2260
Phone number: 732-598-0598
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