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1427646942
REBECCA DIANE LUCAS
FAIRBANKS, AK
NPI
1427646942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AK 199094)
Enumeration Date
2021-01-10
Last Update Date
2023-09-20
Business Address
REBECCA DIANE LUCAS FNP-BC, AGACNP-BC
1275 SADLER WAY STE 101B
FAIRBANKS, AK 99701-3175
Phone number: 907-374-7911
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Mailing Address
REBECCA DIANE LUCAS FNP-BC, AGACNP-BC
2360 S 5TH ST
JOINT BASE LEWIS MCCHORD, WA 98433-1035
Phone number: 808-292-2844
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