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1770343287
IAN LUCAS
STATEN ISLAND, NY
NPI
1770343287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
IAN LUCAS
45 ST STEPHENS PL APT 5
STATEN ISLAND, NY 10306
Phone number: 754-217-8824
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Mailing Address
IAN LUCAS
45 ST STEPHENS PL APT 5
STATEN ISLAND, NY 10306
Phone number: 754-217-8824
Copy
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