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1669998936
NYSSA RENEE' LUCKEY
NEWARK, OH
NPI
1669998936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-18
Last Update Date
2017-08-18
Business Address
NYSSA RENEE' LUCKEY QMHS
65 MESSIMER DR
NEWARK, OH 43055-1874
Phone number: 740-485-6221
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Mailing Address
NYSSA RENEE' LUCKEY QMHS
506 S MCKENZIE ST
MOUNT VERNON, OH 43050-4131
Phone number: 740-336-3475
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