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Individual

ADRIANNE MARIE BOSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1450 WEST ALABAMA AVENUE, RUSTON, LA 71272
(318) 257-4789
(318) 257-2712
Mailing address
1450 W ALABAMA AVE, RUSTON, LA 71272-0001
(318) 257-4789
(318) 257-2712

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/08/2017
Last updated
07/21/2022
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