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1851016190
JUSTIN J. FLEETWOOD
NEW ORLEANS, LA
NPI
1851016190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA J-00148)
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
Mr. JUSTIN J. FLEETWOOD LAT
967 HARDING DR
NEW ORLEANS, LA 70119-3817
Phone number: 504-650-3596
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Mailing Address
Mr. JUSTIN J. FLEETWOOD LAT
967 HARDING DR
NEW ORLEANS, LA 70119-3817
Phone number: 504-650-3596
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