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1588236863
TY LUCAS
MARTINSBURG, WV
NPI
1588236863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
TY LUCAS
42 LUCAS LN
MARTINSBURG, WV 25403-5408
Phone number: 304-901-6135
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Mailing Address
TY LUCAS
42 LUCAS LN
MARTINSBURG, WV 25403-5408
Phone number: 304-901-6135
Copy
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