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1154588960
THOMAS GARY LUCAS
SPEEDWAY, IN
NPI
1154588960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12007556)
Enumeration Date
2008-05-20
Last Update Date
2017-02-28
Business Address
-- THOMAS GARY LUCAS DDS
6211 WEST 30TH STREET SUITE A
SPEEDWAY, IN 46224-3025
Phone number: 317-297-7475
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Mailing Address
-- THOMAS GARY LUCAS DDS
6211 WEST 30TH STREET SUITE A
SPEEDWAY, IN 46224-3025
Phone number: 317-297-7475
Copy
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