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1346968732
LUCAS GAGNON
GORHAM, ME
NPI
1346968732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT6326)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
LUCAS GAGNON
94 MAIN ST UNIT 2
GORHAM, ME 04038-1340
Phone number: 207-839-5860
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Mailing Address
LUCAS GAGNON
625 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-2395
Phone number:
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