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1144885419
CRYSTAL BROOKE LUKACZ
TAMPA, FL
NPI
1144885419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 27883)
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
CRYSTAL BROOKE LUKACZ
4411 N HABANA AVE
TAMPA, FL 33614-7211
Phone number: 813-872-2771
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Mailing Address
CRYSTAL BROOKE LUKACZ
4411 N HABANA AVE
TAMPA, FL 33614-7211
Phone number: 813-872-2771
Copy
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