MARY LUSTER

JACKSON, TN
NPI1609096510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  LPN0000039076)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
-- MARY LUSTER LPN
804 N PARKWAY
JACKSON, TN 38305-3058
Phone number: 731-423-3020
Mailing Address
-- MARY LUSTER LPN
25 ROXBURY DR
JACKSON, TN 38305-1682
Phone number: 731-512-3300
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