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1558093914
MICHAEL JOHN LUCAS
TEMPLE, TX
NPI
1558093914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 1072893)
Enumeration Date
2022-06-25
Last Update Date
2022-08-23
Business Address
MICHAEL JOHN LUCAS CRNA
2401 S 31ST STREET TEMPLE TX 76508
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
MICHAEL JOHN LUCAS CRNA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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