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1972019529
ALEXIS J AMATO
DERIDDER, LA
NPI
1972019529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 303132)
Enumeration Date
2017-12-19
Last Update Date
2017-12-19
Business Address
ALEXIS J AMATO LAT, ATC
600 S PINE ST
DERIDDER, LA 70634-4942
Phone number: 337-396-2071
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Mailing Address
ALEXIS J AMATO LAT, ATC
1439 HIGHWAY 3226
DERIDDER, LA 70634-9131
Phone number: 985-517-0383
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