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1568944692
LUCAS J SHALLENBERGER
BRADENTON, FL
NPI
1568944692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT33944)
Enumeration Date
2018-09-05
Last Update Date
2019-09-03
Business Address
LUCAS J SHALLENBERGER
6015 POINTE WEST BLVD STE 201
BRADENTON, FL 34209-5543
Phone number: 941-782-2000
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Mailing Address
LUCAS J SHALLENBERGER
4442 5TH ST W
BRADENTON, FL 34207-1531
Phone number:
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