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1629392634
JUDITH ELLEN LUCAS
LACKAWANNA, NY
NPI
1629392634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: NY 49000634)
Enumeration Date
2010-03-19
Last Update Date
2010-03-19
Business Address
Mrs. JUDITH ELLEN LUCAS CDA-RDA
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-823-9352
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Mailing Address
Mrs. JUDITH ELLEN LUCAS CDA-RDA
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-823-9352
Copy
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