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1366159220
DALTON JOHN LUCAS
MOUNDSVILLE, WV
NPI
1366159220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-11-01
Last Update Date
2022-11-01
Business Address
DALTON JOHN LUCAS
223 1/2 THORN AVE
MOUNDSVILLE, WV 26041-1248
Phone number: 304-780-4682
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Mailing Address
DALTON JOHN LUCAS
223 1/2 THORN AVE
MOUNDSVILLE, WV 26041-1248
Phone number: 304-780-4682
Copy
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