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1922488501
KYLE LUCAS
MIAMI, OK
NPI
1922488501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-06-09
Last Update Date
2015-06-09
Business Address
-- KYLE LUCAS
111 S TREATY RD
MIAMI, OK 74354-5327
Phone number: 918-540-1511
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Mailing Address
-- KYLE LUCAS
114 W DELAWARE AVE
NOWATA, OK 74048-2601
Phone number: 918-273-1841
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