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Individual

ALDA M. BURSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
9201 UNIVERSITY CITY BLVD, CHARLOTTE ATHLETICS, CHARLOTTE, NC 28223-0001
(704) 687-6926
(704) 687-3944
Mailing address
9201 UNIVERSITY CITY BLVD, CHARLOTTE ATHLETICS, CHARLOTTE, NC 28223-0001
(704) 687-6926
(704) 687-3944

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001131
VA
2255A2300X
Athletic Trainer
1505
NC

Other

Enumeration date
05/24/2007
Last updated
03/22/2010
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