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1174028781
SONY LUKOSE
GROSSE POINTE WOODS, MI
NPI
1174028781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: MI 5501016122)
Enumeration Date
2018-03-26
Last Update Date
2018-03-26
Business Address
SONY LUKOSE
21401 MACK AVE
GROSSE POINTE WOODS, MI 48236-1048
Phone number: 586-778-0800
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Mailing Address
SONY LUKOSE
34542 HEARTSWORTH LN
STERLING HEIGHTS, MI 48312-5739
Phone number: 248-747-2181
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