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Individual
MR. LUKE ANTON VIRES
Active
Individual
MR. LUKE ANTON VIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4202
AZ
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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