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1932967676
MICHEAL ISAAC LUCK
TOOELE, UT
NPI
1932967676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
MICHEAL ISAAC LUCK
71 N 50 W
TOOELE, UT 84074
Phone number: 801-990-4300
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Mailing Address
MICHEAL ISAAC LUCK
PO BOX 330
MAGNA, UT 84044-0330
Phone number: 801-990-4300
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