Individual
KATHLEEN DUBOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 COMMONS WAY, GREENVILLE, SC 29611-3850
(864) 520-2020
Mailing address
ITRUST WELLNESS GROUP, 117 COMMONS WAY, GREENVILLE, SC 29611
(864) 590-1171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
06/08/2022
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