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Individual

MR. COREY ELVIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 907-0609
Mailing address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
300121
LA

Other

Enumeration date
06/08/2023
Last updated
06/08/2023
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