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1831626589
HAILEE ATHMAN
RIVER RIDGE, LA
NPI
1831626589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 304060)
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
-- HAILEE ATHMAN LAT, ATC
2004 OAK CREEK RD APT 133
RIVER RIDGE, LA 70123-5889
Phone number: 612-207-5726
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Mailing Address
-- HAILEE ATHMAN LAT, ATC
2004 OAK CREEK RD APT 133
RIVER RIDGE, LA 70123-5889
Phone number: 612-207-5726
Copy