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1700020401
SHAWN LAMAR LUCAS
COLUMBUS, OH
NPI
1700020401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN123121-IV)
Enumeration Date
2009-04-24
Last Update Date
2009-04-24
Business Address
-- SHAWN LAMAR LUCAS LPN
3789 WALNUT CREEK DR
COLUMBUS, OH 43224-2527
Phone number: 614-735-3194
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Mailing Address
-- SHAWN LAMAR LUCAS LPN
3789 WALNUT CREEK DR
COLUMBUS, OH 43224-2527
Phone number: 614-735-3194
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