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Individual

ANGELIQUE BLAIR CARMOUCHE

Active
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Individual

ANGELIQUE BLAIR CARMOUCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAT, LAT,ATC

Taxonomy

Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
319966
LA
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
AT8258
TX

Other

Enumeration date
06/28/2019
Last updated
01/25/2021
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