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1861081648
MARK LUCAS
FAYETTEVILLE, NC
NPI
1861081648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-10894)
Enumeration Date
2021-01-15
Last Update Date
2022-06-17
Business Address
MARK LUCAS
7300 S RAEFORD RD
FAYETTEVILLE, NC 28304-6162
Phone number: 910-488-2120
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Mailing Address
MARK LUCAS
468 KINGSFORD RD
FAYETTEVILLE, NC 28314-2619
Phone number: 315-719-3669
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