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1063193688
MICHAEL LUCAS
SAN DIEGO, CA
NPI
1063193688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 33762)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
MICHAEL LUCAS
4870 SANTA MONICA AVE
SAN DIEGO, CA 92107-4802
Phone number: 619-560-1270
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Mailing Address
MICHAEL LUCAS
5607 SCRIPPS ST
SAN DIEGO, CA 92122-3207
Phone number:
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