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1427419308
LUCAS RAMON PORTER
OWENSBORO, KY
NPI
1427419308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: KY PSYPAT00225290)
Enumeration Date
2016-03-18
Last Update Date
2016-03-18
Business Address
Mr. LUCAS RAMON PORTER M.A,, L.P.A.
1100 WALNUT ST
OWENSBORO, KY 42301-2956
Phone number: 270-684-2692
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Mailing Address
Mr. LUCAS RAMON PORTER M.A,, L.P.A.
1100 WALNUT ST
OWENSBORO, KY 42301-2956
Phone number:
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