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1871907998
DEAN MANNINA
BATON ROUGE, LA
NPI
1871907998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA J00370)
Enumeration Date
2014-06-17
Last Update Date
2014-06-17
Business Address
-- DEAN MANNINA ATC, LAT
3200 WOODLAND RIDGE BLVD
BATON ROUGE, LA 70816-2743
Phone number: 225-753-3180
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Mailing Address
-- DEAN MANNINA ATC, LAT
3200 WOODLAND RIDGE BLVD
BATON ROUGE, LA 70816-2743
Phone number: 225-753-3180
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