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1164588489
MICHAEL DAVID LUSTER
PHOENIX, AZ
NPI
1164588489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ L.P.C 2479)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
-- MICHAEL DAVID LUSTER L.P.C.
15650 N BLACK CANYON HWY B 130
PHOENIX, AZ 85053-4064
Phone number: 602-548-8733
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Mailing Address
-- MICHAEL DAVID LUSTER L.P.C.
6708 W UTOPIA RD
GLENDALE, AZ 85308-5507
Phone number: 623-566-0398
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