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1164648424
VINCENT LUSTIG
CHARLESTON, WV
NPI
1164648424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: WV A0063)
Enumeration Date
2007-04-17
Last Update Date
2007-07-09
Business Address
-- VINCENT LUSTIG Ph.D., CCC-A
2205 WASHINGTON ST E
CHARLESTON, WV 25311-2218
Phone number: 304-345-8522
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Mailing Address
-- VINCENT LUSTIG Ph.D., CCC-A
5006 RENARD ST
SISSONVILLE, WV 25320-9623
Phone number: 304-988-1760
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