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1235843467
YACUB LUCAS
SACRAMENTO, CA
NPI
1235843467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: CA 6051257740)
Enumeration Date
2023-01-11
Last Update Date
2023-01-11
Business Address
YACUB LUCAS
974 PARK RANCH WAY
SACRAMENTO, CA 95831-3064
Phone number: 916-997-9130
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Mailing Address
YACUB LUCAS
974 PARK RANCH WAY
SACRAMENTO, CA 95831-3064
Phone number: 916-997-9130
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