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1538942172
SELENA MARI LUCAS
CANTON, OH
NPI
1538942172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH C.2304987-TRNE)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
SELENA MARI LUCAS
4641 FULTON DR NW
CANTON, OH 44718-2384
Phone number: 330-433-6075
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Mailing Address
SELENA MARI LUCAS
328 ROSE LANE ST SE
NORTH CANTON, OH 44720-3642
Phone number: 330-356-4293
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