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1023618832
SHANNON N LUCAS
BECKLEY, WV
NPI
1023618832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
SHANNON N LUCAS
1614 S KANAWHA ST
BECKLEY, WV 25801-6239
Phone number: 304-255-1397
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Mailing Address
SHANNON N LUCAS
1614 S KANAWHA ST
BECKLEY, WV 25801-6239
Phone number: 304-255-1397
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