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1568063220
LUCAS ALAN BODINE
PHOENIX, AZ
NPI
1568063220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 31532)
Enumeration Date
2020-11-07
Last Update Date
2020-11-12
Business Address
LUCAS ALAN BODINE
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-284-1890
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Mailing Address
LUCAS ALAN BODINE
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-284-1890
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