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1942719752
LISA SUSANNA IZZI
RALEIGH, NC
NPI
1942719752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 3209)
Enumeration Date
2017-09-25
Last Update Date
2017-09-25
Business Address
LISA SUSANNA IZZI LAT, ATC
11200 GOVERNOR MANLY WAY
RALEIGH, NC 27614-8599
Phone number: 919-562-9410
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Mailing Address
LISA SUSANNA IZZI LAT, ATC
8505 BLUFF POINTE CT
RALEIGH, NC 27615-8101
Phone number:
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