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1225454614
VALAREE ALEXIS LUCK
SOUTHAMPTON, NY
NPI
1225454614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS15545)
Enumeration Date
2014-03-10
Last Update Date
2018-08-29
Business Address
Miss VALAREE ALEXIS LUCK DO
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Phone number: 631-726-0409
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Mailing Address
Miss VALAREE ALEXIS LUCK DO
1120 HOMESTEAD RD N
LEHIGH ACRES, FL 33936-6044
Phone number: 239-303-5020
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