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1740907237
DOROTHE LUSTY
CHARLOTTE, NC
NPI
1740907237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-10-25
Last Update Date
2022-10-25
Business Address
DOROTHE LUSTY
11301 CARMEL COMMONS BLVD
CHARLOTTE, NC 28226-5318
Phone number: 949-600-3400
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Mailing Address
DOROTHE LUSTY
11301 CARMEL COMMONS BLVD STE 108
CHARLOTTE, NC 28226-5305
Phone number: 949-600-3400
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