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1093241481
ERWIN JOSEPH CORONACION LUCAS
GLEN BURNIE, MD
NPI
1093241481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 25344)
Enumeration Date
2017-05-04
Last Update Date
2017-05-04
Business Address
ERWIN JOSEPH CORONACION LUCAS
7310 RITCHIE HWY STE 615
GLEN BURNIE, MD 21061-3291
Phone number: 410-766-0006
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Mailing Address
ERWIN JOSEPH CORONACION LUCAS
7826 PARKE WEST DR APT 104
GLEN BURNIE, MD 21061-4737
Phone number: 410-739-5719
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