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1144947623
LUCAS MARIO OLAN
MAITLAND, FL
NPI
1144947623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH20913)
Enumeration Date
2022-10-25
Last Update Date
2022-10-25
Business Address
LUCAS MARIO OLAN IMH20913
260 LOOKOUT PL STE 202
MAITLAND, FL 32751-4485
Phone number: 833-769-3524
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Mailing Address
LUCAS MARIO OLAN IMH20913
1020 WINDY WAY
APOPKA, FL 32703-6552
Phone number: 407-920-1453
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