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1104241678
JENNIFER FOWLER LUCAS
ONLEY, VA
NPI
1104241678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110004450)
Enumeration Date
2014-02-20
Last Update Date
2014-12-15
Business Address
-- JENNIFER FOWLER LUCAS PA-C
20306 BADGER LANE
ONLEY, VA 23418-0159
Phone number: 757-787-7374
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Mailing Address
-- JENNIFER FOWLER LUCAS PA-C
PO BOX 159
ONLEY, VA 23418-0159
Phone number: 757-787-7374
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