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1134489313
MATTHEW EDWARD LUCKENBACH
KANSAS CITY, MO
NPI
1134489313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MO 2011024810)
Enumeration Date
2012-05-22
Last Update Date
2014-01-31
Business Address
-- MATTHEW EDWARD LUCKENBACH
8150 WORNALL RD
KANSAS CITY, MO 64114-5806
Phone number: 816-682-1596
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Mailing Address
-- MATTHEW EDWARD LUCKENBACH
949 NE COLUMBUS ST
LEES SUMMIT, MO 64086-2977
Phone number: 816-682-1596
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