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1407848427
KEVIN DAVID LUCAS
WHITE BEAR LAKE, MN
NPI
1407848427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN LD2695000)
Enumeration Date
2005-08-16
Last Update Date
2007-07-08
Business Address
Dr. KEVIN DAVID LUCAS O.D.
4720 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110-3336
Phone number: 651-426-2747
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Mailing Address
Dr. KEVIN DAVID LUCAS O.D.
4720 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110-3336
Phone number: 651-426-2747
Copy
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