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1902580228
MATTHEW LEROY LUCAS
GRAND JUNCTION, CO
NPI
1902580228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
Mr. MATTHEW LEROY LUCAS CTRS
2937 W ERIKA CT
GRAND JUNCTION, CO 81504-6964
Phone number: 970-260-9194
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Mailing Address
Mr. MATTHEW LEROY LUCAS CTRS
2937 W ERIKA CT
GRAND JUNCTION, CO 81504-6964
Phone number: 970-260-9194
Copy
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