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1104465624
LISA GAIL LUCAS
JACKSONVILLE, FL
NPI
1104465624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-01-01
Last Update Date
2020-01-01
Business Address
LISA GAIL LUCAS 106S00000X
4624 PARK ST
JACKSONVILLE, FL 32205-7327
Phone number: 512-545-9500
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Mailing Address
LISA GAIL LUCAS 106S00000X
8024 SOUTHSIDE BLVD APT 183
JACKSONVILLE, FL 32256-8023
Phone number: 512-545-9500
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