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1942726435
LUCAS GERALD BENISH
GERMANTOWN, WI
NPI
1942726435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 14027-024)
Enumeration Date
2017-08-17
Last Update Date
2018-02-26
Business Address
LUCAS GERALD BENISH PT, DPT
N112W17975 MEQUON RD
GERMANTOWN, WI 53022-2425
Phone number: 262-532-7680
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Mailing Address
LUCAS GERALD BENISH PT, DPT
N112W17975 MEQUON RD
GERMANTOWN, WI 53022-2425
Phone number: 262-532-7680
Copy
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