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1982265542
SHAWN M LUCAS
SAN DIEGO, CA
NPI
1982265542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
SHAWN M LUCAS
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
SHAWN M LUCAS
2729 WASP WAY
SAN DIEGO, CA 92106-6468
Phone number: 352-433-5143
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