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1912539453
PARIS JEREMIAH RICHARDSON
HAMMOND, LA
NPI
1912539453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 011863107)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
PARIS JEREMIAH RICHARDSON
44205 S AIRPORT RD
HAMMOND, LA 70403-0305
Phone number: 985-351-3034
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Mailing Address
PARIS JEREMIAH RICHARDSON
PO BOX 851
HAMMOND, LA 70404-0851
Phone number: 985-351-3034
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