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Individual
JESSE MICHAEL LUCABAUGH
Active
Individual
JESSE MICHAEL LUCABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002336
VA
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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