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Individual

CARMEN GAUTREAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18140 LAKE HARBOR LN, PRAIRIEVILLE, LA 70769-5263
(225) 290-4621
Mailing address
18140 LAKE HARBOR LN, PRAIRIEVILLE, LA 70769-5263

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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