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1891068060
JAMES EARL LUCKETT
ELK GROVE, CA
NPI
1891068060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-02-17
Last Update Date
2024-09-13
Business Address
Mr. JAMES EARL LUCKETT
9412 BIG HORN BLVD
ELK GROVE, CA 95758-1101
Phone number: 916-609-5155
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Mailing Address
Mr. JAMES EARL LUCKETT
9412 BIG HORN BLVD
ELK GROVE, CA 95758-1101
Phone number: 916-609-5155
Copy
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