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1942427091
CHARLES PRESTON LUTES
RUSTON, LA
NPI
1942427091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200043)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Mr. CHARLES PRESTON LUTES ATC, LAT, EMT
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-251-6373
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Mailing Address
Mr. CHARLES PRESTON LUTES ATC, LAT, EMT
1702 HASKELL DR
RUSTON, LA 71270-5319
Phone number: 318-255-0474
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