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1851793145
LUCAS CARSON
BANNER ELK, NC
NPI
1851793145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC 2223)
Enumeration Date
2014-09-18
Last Update Date
2014-09-18
Business Address
MR. LUCAS CARSON MS, LAT, ATC, CPT
191 MAIN ST
BANNER ELK, NC 28604-0128
Phone number: 828-898-8892
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Mailing Address
MR. LUCAS CARSON MS, LAT, ATC, CPT
198 BEECH HAVEN RD P.O. BOX 162
BANNER ELK, NC 28604
Phone number: 724-504-8804
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