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1912675620
MICHAEL LUCERO
AVONDALE, AZ
NPI
1912675620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
MICHAEL LUCERO
10750 W MCDOWELL RD
AVONDALE, AZ 85392-5960
Phone number: 623-907-0746
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Mailing Address
MICHAEL LUCERO
4603 N 50TH DR
PHOENIX, AZ 85031-1326
Phone number: 602-300-3941
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