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1891286753
TERRY R. KIMBALL
LAFAYETTE, LA
NPI
1891286753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATC.J00237)
Enumeration Date
2018-05-25
Last Update Date
2018-05-25
Business Address
TERRY R. KIMBALL ATC, LAT
110 KIMBALL DR
LAFAYETTE, LA 70508-7802
Phone number: 337-344-7550
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Mailing Address
TERRY R. KIMBALL ATC, LAT
110 KIMBALL DR
LAFAYETTE, LA 70508-7802
Phone number: 337-344-7550
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