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1225786197
JESSE MICHAEL LUCABAUGH
RICHMOND, VA
NPI
1225786197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: VA 0133002336)
Enumeration Date
2022-03-10
Last Update Date
2022-03-10
Business Address
JESSE MICHAEL LUCABAUGH
2601 WILLARD RD STE 105
RICHMOND, VA 23294-3638
Phone number: 046-661-8799
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Mailing Address
JESSE MICHAEL LUCABAUGH
1519 AVONDALE AVE
RICHMOND, VA 23227-4027
Phone number: 804-661-8799
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