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1790663110
LUKAS MAXWELL WILSON
YUCAIPA, CA
NPI
1790663110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: CA 5251-2674-5073)
Enumeration Date
2025-08-25
Last Update Date
2025-08-25
Business Address
LUKAS MAXWELL WILSON
35114 MOUNTAIN VIEW ST
YUCAIPA, CA 92399-4725
Phone number: 909-708-7556
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Mailing Address
LUKAS MAXWELL WILSON
35114 MOUNTAIN VIEW ST
YUCAIPA, CA 92399-4725
Phone number: 909-708-7556
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