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1609606813
LUCAS CALVIN DEYOUNG
LITTLE ROCK, AR
NPI
1609606813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
LUCAS CALVIN DEYOUNG
4301 W MARKHAM ST
LITTLE ROCK, AR 72205-7101
Phone number: 870-656-4053
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Mailing Address
LUCAS CALVIN DEYOUNG
4301 W MARKHAM ST
LITTLE ROCK, AR 72205-7101
Phone number:
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