KATELYN LLISO

CHARLOTTE, NC
NPI1548932122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  LAT-3903)
Enumeration Date2021-10-01
Last Update Date2021-10-01
Business Address
KATELYN LLISO
4921 JEAN GRIMES DR APT 106
CHARLOTTE, NC 28269-3049
Phone number: 704-557-5874
Mailing Address
KATELYN LLISO
224 EAST WILSON STREET
WINGATE, NC 28174
Phone number:
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