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1467011106
LANA SUZETTE DYCUS
PADUCAH, KY
NPI
1467011106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2019-06-06
Last Update Date
2019-07-11
Business Address
LANA SUZETTE DYCUS
220 GILHAVEN DR
PADUCAH, KY 42003-5720
Phone number: 270-564-0949
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Mailing Address
LANA SUZETTE DYCUS
220 GILHAVEN DR
PADUCAH, KY 42003-5720
Phone number: 270-564-0949
Copy
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