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1629093851
GORDON H. LUCAS
DILLON, MT
NPI
1629093851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MT 29790)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
-- GORDON H. LUCAS CRNA
90 HIGHWAY 91 SOUTH
DILLON, MT 59725-3516
Phone number: 406-683-3000
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Mailing Address
-- GORDON H. LUCAS CRNA
PO BOX 34940
SEATTLE, WA 98124-1940
Phone number: 503-372-2740
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