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1053466375
KEVIN TIMOTHY LUCAS
BENTONVILLE, AR
NPI
1053466375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR1977)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Mr. KEVIN TIMOTHY LUCAS OTRL
3102 NW ALBERTA
BENTONVILLE, AR 72712-8428
Phone number: 479-685-3404
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Mailing Address
Mr. KEVIN TIMOTHY LUCAS OTRL
3102 NW ALBERTA
BENTONVILLE, AR 72712-8428
Phone number: 479-685-3404
Copy
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