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Individual

BROOKE ANNE LUSK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
542 6TH AVE, HUNTINGTON, WV 25701-1912
(304) 522-3544
Mailing address
542 6TH AVE, HUNTINGTON, WV 25701-1912
(304) 522-3544

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2006-2225
WV

Other

Enumeration date
06/25/2008
Last updated
06/25/2008
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