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1730790296
LUCAS TATSUKI TAKEUCHI
EVERETT, WA
NPI
1730790296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-08-10
Last Update Date
2020-08-10
Business Address
LUCAS TATSUKI TAKEUCHI
2205 WALL ST
EVERETT, WA 98201-3761
Phone number: 425-512-8695
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Mailing Address
LUCAS TATSUKI TAKEUCHI
2205 WALL ST
EVERETT, WA 98201-3761
Phone number: 425-512-8695
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