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1548916638
JESSE LUCAS
NEWARK, NJ
NPI
1548916638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-02-27
Last Update Date
2022-02-27
Business Address
JESSE LUCAS
401 WOODSIDE AVE
NEWARK, NJ 07104-3243
Phone number: 623-296-2034
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Mailing Address
JESSE LUCAS
401 WOODSIDE AVE
NEWARK, NJ 07104-3243
Phone number: 623-296-2034
Copy
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