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1982823357
QUANTRELL ELIJAH RASHAD TOVAL
ALEXANDRIA, LA
NPI
1982823357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA 200018)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
Mr. QUANTRELL ELIJAH RASHAD TOVAL ATC, LAT
3347 MASONIC DR
ALEXANDRIA, LA 71301-3842
Phone number: 318-664-6682
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Mailing Address
Mr. QUANTRELL ELIJAH RASHAD TOVAL ATC, LAT
4900 LISA ST APT 64
ALEXANDRIA, LA 71302-2326
Phone number: 504-908-1134
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