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1447569090
MICHELLE C LUCAS
TAMPA, FL
NPI
1447569090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: FL AL1541)
Enumeration Date
2010-09-30
Last Update Date
2010-09-30
Business Address
MRS. MICHELLE C LUCAS ATC
7171 N DALE MABRY HWY
TAMPA, FL 33614-2630
Phone number: 813-936-5075
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Mailing Address
MRS. MICHELLE C LUCAS ATC
6701 SPANISH MOSS CIR
TAMPA, FL 33625-6531
Phone number: 813-842-1928
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