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1154095180
NATHAN JAMES LUCKAS
PONTIAC, MI
NPI
1154095180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-08-03
Last Update Date
2021-08-03
Business Address
NATHAN JAMES LUCKAS
1685 BALDWIN AVE STE 100
PONTIAC, MI 48340-1242
Phone number: 248-706-3450
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Mailing Address
NATHAN JAMES LUCKAS
44562 BAYVIEW AVE APT 13112
CLINTON TOWNSHIP, MI 48038-7057
Phone number: 586-601-6244
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