MISTY SIOBHAN TATE

CHARLOTTE, NC
NPI1912279217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  1404)
Enumeration Date2012-02-01
Last Update Date2012-02-01
Business Address
Miss MISTY SIOBHAN TATE MBA, LAT, ATC
4400 GOLF ACRES DR BUILDING J SUITE D
CHARLOTTE, NC 28208-5990
Phone number: 704-774-7421
Mailing Address
Miss MISTY SIOBHAN TATE MBA, LAT, ATC
4749 CHARLESTON DR
CHARLOTTE, NC 28212-5514
Phone number: 704-747-5787
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