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1154556066
JENNIFER LYNN LUCAS
KNOXVILLE, TN
NPI
1154556066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: TN 1734)
Enumeration Date
2009-05-20
Last Update Date
2009-05-20
Business Address
Mrs. JENNIFER LYNN LUCAS C.O.T.A/L
2120 HIGHLAND AVE
KNOXVILLE, TN 37916-1112
Phone number: 865-525-4131
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Mailing Address
Mrs. JENNIFER LYNN LUCAS C.O.T.A/L
2120 HIGHLAND AVE
KNOXVILLE, TN 37916-1112
Phone number: 865-525-4131
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