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1780911248
DANIEL S LUCKY
MODESTO, CA
NPI
1780911248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 19377)
Enumeration Date
2009-11-04
Last Update Date
2009-11-04
Business Address
-- DANIEL S LUCKY MSN, FNP-C, GNP-C,
2501 MCHENRY AVE SUITE F
MODESTO, CA 95350-3259
Phone number: 209-522-9054
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Mailing Address
-- DANIEL S LUCKY MSN, FNP-C, GNP-C,
201 E RUMBLE RD SUITE E
MODESTO, CA 95350-2356
Phone number: 209-527-7777
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