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1386224707
RYAN LUCAS CHARTER
SAN DIEGO, CA
NPI
1386224707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
RYAN LUCAS CHARTER PA-S
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 951-318-6181
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Mailing Address
RYAN LUCAS CHARTER PA-S
9236 SERENITY ST
RIVERSIDE, CA 92508-9362
Phone number: 951-318-6181
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