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1932854833
LUCAS BOGAN
CLINTON TWP, MI
NPI
1932854833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502007999)
Enumeration Date
2022-02-18
Last Update Date
2022-02-18
Business Address
LUCAS BOGAN PTA
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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Mailing Address
LUCAS BOGAN PTA
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
Copy
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