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1104890037
ROBERT S. CHARLES-LISCOMBE
GREENSBORO, NC
NPI
1104890037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 0076)
Enumeration Date
2006-02-15
Last Update Date
2007-07-08
Business Address
Mr. ROBERT S. CHARLES-LISCOMBE ATC
815 W MARKET ST DIVISION OF KINESIOLOGY
GREENSBORO, NC 27401-1823
Phone number: 336-272-7102
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Mailing Address
Mr. ROBERT S. CHARLES-LISCOMBE ATC
6702 POPLAR GROVE TRL
GREENSBORO, NC 27410-8629
Phone number: 336-664-6248
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