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1265029573
STACY LUCAS
CHARLESTON, WV
NPI
1265029573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
STACY LUCAS
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3934
Phone number: 304-348-0707
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Mailing Address
STACY LUCAS
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3934
Phone number: 304-348-0707
Copy
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