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1124619788
DRAKE MICAH LUGINBUHL
SOUTH BEND, IN
NPI
1124619788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05014053A)
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
DRAKE MICAH LUGINBUHL PT, DPT
1005 N HICKORY RD
SOUTH BEND, IN 46615-2280
Phone number: 574-233-5754
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Mailing Address
DRAKE MICAH LUGINBUHL PT, DPT
1005 N HICKORY RD
SOUTH BEND, IN 46615-2280
Phone number: 574-233-5754
Copy
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