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1275959298
LUIS LUCENA
TYLER, TX
NPI
1275959298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2083935)
Enumeration Date
2014-03-14
Last Update Date
2014-03-14
Business Address
-- LUIS LUCENA
100 E FERGUSON ST
TYLER, TX 75702-5759
Phone number: 903-590-2040
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Mailing Address
-- LUIS LUCENA
1406 GOLIAD ST
TYLER, TX 75701-7500
Phone number: 903-363-3279
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