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1790491298
MICHAEL RUDOLPH LUCERO
KNOXVILLE, TN
NPI
1790491298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 5375)
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
MICHAEL RUDOLPH LUCERO PA-C
1050 NOD ST
KNOXVILLE, TN 37932-3717
Phone number: 505-328-2236
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Mailing Address
MICHAEL RUDOLPH LUCERO PA-C
1050 NOD ST
KNOXVILLE, TN 37932-3717
Phone number: 505-328-2236
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