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1326528936
KYLE ANDREW LUCCA
SPRINGFIELD, IL
NPI
1326528936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070023726)
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
KYLE ANDREW LUCCA DPT
2508 SAINT JAMES RD
SPRINGFIELD, IL 62707-9736
Phone number: 217-747-5901
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Mailing Address
KYLE ANDREW LUCCA DPT
10 OAKLAND DR
RIVERTON, IL 62561-9629
Phone number:
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