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Individual
MR. RICARTHUR DANO LONTOC
Active
Individual
MR. RICARTHUR DANO LONTOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39028
HEALTH PLAN OF MICHIGAN
MI
Enumeration date
10/16/2007
Last updated
10/16/2007
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