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1912377110
AMBER PETREY
JEFFERSON, LA
NPI
1912377110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200135)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
-- AMBER PETREY
1201 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1015
Phone number: 225-206-0992
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Mailing Address
-- AMBER PETREY
1461 2ND ST
LUTCHER, LA 70071-5505
Phone number: 225-206-0992
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