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1538510573
LUKE WAHLSTROM
SHOW LOW, AZ
NPI
1538510573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 12316)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- LUKE WAHLSTROM PT, DPT
5171 CUB LAKE RD SUITE C310
SHOW LOW, AZ 85901-7888
Phone number: 928-537-0248
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Mailing Address
-- LUKE WAHLSTROM PT, DPT
206 BUFFALO RUN RD
BUFFALO, MN 55313-2437
Phone number:
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