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1407100241
GINA LYNN LUCAS
MORAINE, OH
NPI
1407100241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OH C.0007106)
Enumeration Date
2012-11-01
Last Update Date
2012-11-01
Business Address
Mrs. GINA LYNN LUCAS MS/ PC
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-534-1379
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Mailing Address
Mrs. GINA LYNN LUCAS MS/ PC
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-534-1379
Copy
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