Individual
MR. DELESSEPS PAUL DOLESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
302 S WAKEFIELD DR, LAFAYETTE, LA 70503-4630
(337) 981-6053
Mailing address
302 S WAKEFIELD DR, LAFAYETTE, LA 70503-4630
(337) 981-6053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00233
LA
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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