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1306560024
DEMETRIOUS D LUCAS
DAYTON, OH
NPI
1306560024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-09-27
Last Update Date
2022-09-27
Business Address
DEMETRIOUS D LUCAS CM
2611 WAYNE AVE
DAYTON, OH 45420-1833
Phone number: 937-228-0579
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Mailing Address
DEMETRIOUS D LUCAS CM
626 DODGE CT APT A
RIVERSIDE, OH 45431-4886
Phone number: 937-248-7068
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