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1083673982
MICHAEL T LUCK
WATERVILLE, ME
NPI
1083673982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA278)
Enumeration Date
2006-03-20
Last Update Date
2008-07-03
Business Address
MICHAEL T LUCK PA
149 NORTH ST
WATERVILLE, ME 04901-4974
Phone number: 207-872-1303
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Mailing Address
MICHAEL T LUCK PA
149 NORTH ST
WATERVILLE, ME 04901-4974
Phone number: 207-872-1303
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