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1710182068
MICHAEL HAUTEA LUCERO
WINSTON SALEM, NC
NPI
1710182068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 9853)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
MR. MICHAEL HAUTEA LUCERO P.T.
1000 SALEMTOWNE DR
WINSTON SALEM, NC 27106-3294
Phone number: 336-776-2300
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Mailing Address
MR. MICHAEL HAUTEA LUCERO P.T.
PO BOX 1301
CLEMMONS, NC 27012-1301
Phone number: 478-737-8726
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