Individual
PAUL ALAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1765 BELLEVUE RD, HAUGHTON, LA 71037-7541
(318) 453-4716
Mailing address
1765 BELLEVUE RD, HAUGHTON, LA 71037-7541
(318) 453-4716
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00119
LA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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