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1770386104
LUCAS JOSEPH SIEVING
GREEN BAY, WI
NPI
1770386104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2025-03-31
Last Update Date
2025-04-13
Business Address
LUCAS JOSEPH SIEVING
2851 UNIVERSITY AVE
GREEN BAY, WI 54311-5855
Phone number: 414-955-7236
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Mailing Address
LUCAS JOSEPH SIEVING
226 E JOHN ST
FORREST, IL 61741-9226
Phone number: 815-419-8944
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