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1932641404
MAX WHITSELL
HAMMOND, LA
NPI
1932641404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200384)
Enumeration Date
2016-11-15
Last Update Date
2016-11-15
Business Address
-- MAX WHITSELL
800 GALLOWAY DR
HAMMOND, LA 70402-0001
Phone number: 985-549-5401
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Mailing Address
-- MAX WHITSELL
SOUTHEASTERN LOUISIANA UNIVERSITY ATHLETICS SLU 10309
HAMMOND, LA 70402-0001
Phone number:
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