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1790172252
LUCAS WIECK
ATLANTA, GA
NPI
1790172252
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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
2015-04-22
Last Update Date
2015-04-22
Business Address
Mr. LUCAS WIECK
1364 CLIFTON RD
ATLANTA, GA 30332-0001
Phone number: 404-712-5947
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Mailing Address
Mr. LUCAS WIECK
1364 CLIFTON RD
ATLANTA, GA 30332-0001
Phone number: 404-712-5947
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