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1962287581
LUCAS PREDMORE
LEES SUMMIT, MO
NPI
1962287581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2017019761)
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
LUCAS PREDMORE
934 SW 163RD ST
LEES SUMMIT, MO 64082-4579
Phone number: 573-694-6131
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Mailing Address
LUCAS PREDMORE
934 SW 163RD ST
LEES SUMMIT, MO 64082-4579
Phone number: 573-694-6131
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