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1194977702
TERRY KENNETH DELUCA
SAINT CLAIR SHORES, MI
NPI
1194977702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301092836)
Enumeration Date
2008-10-14
Last Update Date
2008-10-14
Business Address
Dr. TERRY KENNETH DELUCA M.D.
24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080-3200
Phone number: 586-777-2050
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Mailing Address
Dr. TERRY KENNETH DELUCA M.D.
24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080-3200
Phone number: 586-777-2050
Copy
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