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1255802138
ETIENNE LUMA
CHESAPEAKE, VA
NPI
1255802138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306604764)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
ETIENNE LUMA
535 SCHAEFER AVE
CHESAPEAKE, VA 23321-2729
Phone number: 561-716-2210
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Mailing Address
ETIENNE LUMA
535 SCHAEFER AVE
CHESAPEAKE, VA 23321-2729
Phone number:
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