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Individual

MARY PUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
300 LONG SHOALS RD, APARTMENT 17W, ARDEN, NC 28704-7739
(814) 218-5742
Mailing address
300 LONG SHOALS RD, APARTMENT 17W, ARDEN, NC 28704-7739

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2527
NC

Other

Enumeration date
02/09/2015
Last updated
02/09/2015
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