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1417421413
MARISSA EVONNE LUCAS
GAINESVILLE, FL
NPI
1417421413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-14
Last Update Date
2020-07-07
Business Address
MARISSA EVONNE LUCAS MSAT, ATC
4400 SW 20TH AVE APT 5201
GAINESVILLE, FL 32607-3902
Phone number: 732-404-7867
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Mailing Address
MARISSA EVONNE LUCAS MSAT, ATC
24 OAKLAND RD
JAMESBURG, NJ 08831-1340
Phone number:
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