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1548604143
LUCAS FON
UPPER MARLBORO, MD
NPI
1548604143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2013-04-25
Last Update Date
2013-04-25
Business Address
Mr. LUCAS FON
5207 MELWOOD PARK AVE
UPPER MARLBORO, MD 20772-7427
Phone number: 240-461-8569
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Mailing Address
Mr. LUCAS FON
5207 MELWOOD PARK AVE
UPPER MARLBORO, MD 20772-7427
Phone number: 240-461-8569
Copy
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