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Individual

MR. DALLAS ROGER LOUKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
323 W MONROE ST, WYOCENA, WI 53969
(608) 429-2181
Mailing address
315 VALLEY VIEW DR, RIO, WI 53960-8037
(218) 591-2606

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2335-19
WI

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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