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1609527217
MARK LUCERO
STUART, FL
NPI
1609527217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11017381)
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
MARK LUCERO APRN
510 SE DIXIE HWY
STUART, FL 34994-3045
Phone number: 772-210-6429
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Mailing Address
MARK LUCERO APRN
3124 US HIGHWAY 441 SE APT I7
OKEECHOBEE, FL 34974-6836
Phone number: 954-516-4761
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