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1508958463
TERRY L STUCKEY
LANSING, MI
NPI
1508958463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 001992)
Enumeration Date
2006-09-29
Last Update Date
2012-11-12
Business Address
-- TERRY L STUCKEY PA
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-2223
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Mailing Address
-- TERRY L STUCKEY PA
PO BOX 634280
CINCINNATI, OH 45263-0041
Phone number: 517-336-8080
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