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1831773209
JACK JAMES LUCAS
SAN RAFAEL, CA
NPI
1831773209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 17636)
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
JACK JAMES LUCAS
4000 CIVIC CENTER DR
SAN RAFAEL, CA 94903-4171
Phone number: 628-877-0040
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Mailing Address
JACK JAMES LUCAS
1345 43RD AVE
SAN FRANCISCO, CA 94122-1214
Phone number: 415-810-3776
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