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Individual

MRS. REBEKAH LUSSIAA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
74-5000 PUOHULIHULI ST, KAILUA KONA, HI 96740-3318
(808) 327-4300
(808) 327-4300
Mailing address
73-1542 HAO WAY # A, KAILUA KONA, HI 96740-8656
(808) 325-6805
(808) 325-6805

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
HI

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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