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1720843014
TIFFANY LUCAS
CROSS LANES, WV
NPI
1720843014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
TIFFANY LUCAS
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
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Mailing Address
TIFFANY LUCAS
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
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