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1992040968
MARYLYN SHEILA LUCAS
MODESTO, CA
NPI
1992040968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP9772)
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
Mrs. MARYLYN SHEILA LUCAS SLP
5819 CHENAULT DR
MODESTO, CA 95356-9621
Phone number: 209-572-0793
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Mailing Address
Mrs. MARYLYN SHEILA LUCAS SLP
5819 CHENAULT DR
MODESTO, CA 95356-9621
Phone number: 209-572-0793
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