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1427602531
JACKIE LAVETE LUCAS
SOUTHFIELD, MI
NPI
1427602531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: MI 4704261129)
Enumeration Date
2019-07-26
Last Update Date
2019-07-26
Business Address
JACKIE LAVETE LUCAS
19270 RED MAPLE CT
SOUTHFIELD, MI 48076-1006
Phone number: 248-296-1252
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Mailing Address
JACKIE LAVETE LUCAS
19270 RED MAPLE CT
SOUTHFIELD, MI 48076-1006
Phone number: 248-296-1252
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