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1982906483
COURTNEY BRIAN LUST
CAMP LEJEUNE, NC
NPI
1982906483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-12-03
Last Update Date
2016-11-03
Business Address
-- COURTNEY BRIAN LUST IDC
2D RECONNAISSANCE BN, BLDNG A-71 PSC BOX 20138
CAMP LEJEUNE, NC 28542-0138
Phone number: 910-440-7719
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Mailing Address
-- COURTNEY BRIAN LUST IDC
28 LION LN
CAMERON, NC 28326-6277
Phone number: 910-396-4240
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