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1144782814
LUCAS FAIR
DALLAS, TX
NPI
1144782814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-02
Last Update Date
2019-04-02
Business Address
LUCAS FAIR
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-2361
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Mailing Address
LUCAS FAIR
6718 KAVANAUGH PL
LITTLE ROCK, AR 72207-4113
Phone number:
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