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1902461676
JOHN R LUCERO
THE DALLES, OR
NPI
1902461676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-07
Last Update Date
2022-11-21
Business Address
JOHN R LUCERO
401 E 3RD ST STE 101
THE DALLES, OR 97058-2563
Phone number: 541-298-2101
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Mailing Address
JOHN R LUCERO
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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