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1144784133
ERICA LUCIOUS
BEACHWOOD, OH
NPI
1144784133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.166776.MEDS-IV)
Enumeration Date
2019-01-24
Last Update Date
2019-01-24
Business Address
ERICA LUCIOUS
24200 CHAGRIN BLVD
BEACHWOOD, OH 44122-5550
Phone number: 440-953-9999
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Mailing Address
ERICA LUCIOUS
38882 MENTOR AVE
WILLOUGHBY, OH 44094-7875
Phone number: 440-953-9999
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