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1629212261
JEFFERY LUCKENBACH
PLYMOUTH MEETING, PA
NPI
1629212261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: PA RN503626L)
Enumeration Date
2009-04-27
Last Update Date
2009-04-27
Business Address
-- JEFFERY LUCKENBACH RN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- JEFFERY LUCKENBACH RN
223 ASHFORD DR
DOUGLASSVILLE, PA 19518-8731
Phone number:
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