Individual
AUBREY ELYSE LAURENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5623 COUNTY ROAD 817, NACOGDOCHES, TX 75964
(936) 615-4677
Mailing address
5623 CR 817, NACOGDOCHES, TX 75964
(936) 615-4677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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