KENNETH LASSITER

FAYETTEVILLE, NC
NPI1770180903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  20000190028)
Enumeration Date2020-10-01
Last Update Date2021-12-23
Business Address
KENNETH LASSITER MS, ATC, LAT
1200 MURCHISON RD
FAYETTEVILLE, NC 28301-4252
Phone number: 336-953-0668
Mailing Address
KENNETH LASSITER MS, ATC, LAT
6528 TAMPICO CT
FAYETTEVILLE, NC 28303-2334
Phone number: 336-953-0668
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