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1073980934
CODY LUCAS
DAYTON, OH
NPI
1073980934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH 004395)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
-- CODY LUCAS ATC
300 COLLEGE PARK AVE
DAYTON, OH 45469-0001
Phone number: 937-229-4437
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Mailing Address
-- CODY LUCAS ATC
4203 CASA BLVD
GROVE CITY, OH 43123-3424
Phone number: 614-634-8608
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