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1174252977
JILL A LUCAS
NAMPA, ID
NPI
1174252977
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Other Name
JILL A LUCAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2022-06-07
Last Update Date
2022-06-09
Business Address
JILL A LUCAS
823 PARKCENTRE WAY
NAMPA, ID 83651-1783
Phone number: 208-475-5076
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Mailing Address
JILL A LUCAS
823 PARKCENTRE WAY
NAMPA, ID 83651-1783
Phone number: 208-475-5076
Copy
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