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1760680961
LUKE NANESTE HOLIDAY
TEMPE, AZ
NPI
1760680961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 4021)
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
-- LUKE NANESTE HOLIDAY
2030 E BROADWAY RD APT 2106
TEMPE, AZ 85282-1752
Phone number: 480-215-1488
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Mailing Address
-- LUKE NANESTE HOLIDAY
2030 E BROADWAY RD APT 2106
TEMPE, AZ 85282-1752
Phone number: 480-215-1488
Copy
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