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1205262375
LUCAS QUEEN
OTTAWA, KS
NPI
1205262375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2013-09-20
Last Update Date
2013-09-20
Business Address
-- LUCAS QUEEN 1205262375
327 S WILLOW ST
OTTAWA, KS 66067-2149
Phone number: 785-214-9090
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Mailing Address
-- LUCAS QUEEN 1205262375
327 S WILLOW ST
OTTAWA, KS 66067-2149
Phone number:
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