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1023713435
LUCAS PENALOZA GUTIERREZ
ARDEN, NC
NPI
1023713435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A8033)
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
LUCAS PENALOZA GUTIERREZ
3864 SWEETEN CREEK RD
ARDEN, NC 28704-3136
Phone number: 828-681-0904
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Mailing Address
LUCAS PENALOZA GUTIERREZ
715 BRYSON RD
CANDLER, NC 28715-9573
Phone number: 828-767-7534
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