SHANE M CHIASSON

THIBODAUX, LA
NPI1851918247
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200421)
Enumeration Date2020-07-01
Last Update Date2020-07-01
Business Address
SHANE M CHIASSON
726 N ACADIA RD
THIBODAUX, LA 70301-5051
Phone number: 985-493-4502
Mailing Address
SHANE M CHIASSON
162 HARVEST CT
THIBODAUX, LA 70301-3988
Phone number:
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