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1275277568
LUCAS URICH
MESA, AZ
NPI
1275277568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA-014457)
Enumeration Date
2022-04-23
Last Update Date
2022-04-23
Business Address
LUCAS URICH
6636 E BASELINE RD STE 102
MESA, AZ 85206-4431
Phone number: 480-687-7751
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Mailing Address
LUCAS URICH
6636 E BASELINE RD STE 102
MESA, AZ 85206-4431
Phone number:
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