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1023246618
LACY D JENNINGS
RALEIGH, NC
NPI
1023246618
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Former Name
LACY D BOGOSLAWSKY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 12122)
Enumeration Date
2009-06-23
Last Update Date
2009-06-23
Business Address
LACY D JENNINGS PT
1108 DRESSER CT SUITE 201B
RALEIGH, NC 27609-7328
Phone number: 919-876-8302
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Mailing Address
LACY D JENNINGS PT
1108 DRESSER CT SUITE 201B
RALEIGH, NC 27609-7328
Phone number: 919-876-8302
Copy
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