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1851611644
MICHAEL DONALD LUCCKETTA
CERES, CA
NPI
1851611644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA v191854)
Enumeration Date
2010-06-03
Last Update Date
2010-06-03
Business Address
Mr. MICHAEL DONALD LUCCKETTA lvn
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
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Mailing Address
Mr. MICHAEL DONALD LUCCKETTA lvn
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
Copy
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