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1609631274
LUCIAN JEROME MCKINNEY
ROSEVILLE, CA
NPI
1609631274
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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
2024-02-13
Last Update Date
2024-02-23
Business Address
LUCIAN JEROME MCKINNEY
1540 EUREKA RD STE 100
ROSEVILLE, CA 95661-3056
Phone number: 916-207-9255
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Mailing Address
LUCIAN JEROME MCKINNEY
7755 SUN HILL DR APT 254
CITRUS HEIGHTS, CA 95610-5958
Phone number: 916-937-4103
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