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Individual

CHRISTA LUCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STNA

Contact information

Practice address
6631 BUNTLINE DR, CANAL WINCHESTER, OH 43110-8655
(740) 720-0724
Mailing address
6631 BUNTLINE DR, CANAL WINCHESTER, OH 43110-8655

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401514040513
OH

Other

Enumeration date
10/29/2025
Last updated
10/29/2025
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