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1477236867
RUDOLPH LUCAS
GLENDALE, AZ
NPI
1477236867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: AZ S81862239)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
MR. RUDOLPH LUCAS
5658 W HARMONT DR
GLENDALE, AZ 85302-4669
Phone number: 815-329-0499
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Mailing Address
MR. RUDOLPH LUCAS
5658 W HARMONT DR
GLENDALE, AZ 85302-4669
Phone number: 815-329-0499
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