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1922772532
DANTE LUCK
FAIRBORN, OH
NPI
1922772532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-08-06
Last Update Date
2021-08-06
Business Address
DANTE LUCK
405 GROVE ST
FAIRBORN, OH 45324-3068
Phone number: 937-873-2225
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Mailing Address
DANTE LUCK
405 GROVE ST
FAIRBORN, OH 45324-3068
Phone number: 937-873-2225
Copy
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