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1245487206
LUCAS GUSTILO
MILWAUKIE, OR
NPI
1245487206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NV A0306)
Enumeration Date
2008-08-21
Last Update Date
2008-08-21
Business Address
LUCAS GUSTILO
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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Mailing Address
LUCAS GUSTILO
4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5200
Copy
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