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1023467917
LUCAS POLLEY
CENTERVILLE, OH
NPI
1023467917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH 004411)
Enumeration Date
2016-06-10
Last Update Date
2016-06-10
Business Address
-- LUCAS POLLEY
2400 MIAMI VALLEY DR SPORTS MEDICINE CETER
CENTERVILLE, OH 45459-4774
Phone number: 937-876-9833
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Mailing Address
-- LUCAS POLLEY
134 MAYNARD DR APT. A
TIPP CITY, OH 45371-1579
Phone number: 937-876-9833
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