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1609147636
MELINDA BETH ILG
CHARLOTTE, NC
NPI
1609147636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 1326)
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
Ms. MELINDA BETH ILG LAT, ATC
4400 GOLF ACRES DR BUILDING J SUITE D
CHARLOTTE, NC 28208-5990
Phone number: 704-774-7419
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Mailing Address
Ms. MELINDA BETH ILG LAT, ATC
PO BOX 32861
CHARLOTTE, NC 28232-2861
Phone number: 704-774-7419
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