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1093157307
KELLY LUSE
SACRAMENTO, CA
NPI
1093157307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2013-07-28
Last Update Date
2013-07-28
Business Address
KELLY LUSE
5013 HOLYOKE WAY
SACRAMENTO, CA 95841-3022
Phone number: 916-283-5013
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Mailing Address
KELLY LUSE
5013 HOLYOKE WAY
SACRAMENTO, CA 95841-3022
Phone number:
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