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1548043714
BENJAMIN LUCAS
GRANVILLE, OH
NPI
1548043714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT006228)
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
BENJAMIN LUCAS AT
100 W COLLEGE ST
GRANVILLE, OH 43023-1100
Phone number: 937-668-2689
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Mailing Address
BENJAMIN LUCAS AT
100 W COLLEGE ST
GRANVILLE, OH 43023-1100
Phone number:
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