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1023248010
LACEY HALE
JEFFERSON CITY, MO
NPI
1023248010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2009019831)
Enumeration Date
2009-07-23
Last Update Date
2011-11-03
Business Address
-- LACEY HALE DPT
3308 W EDGEWOOD DR
JEFFERSON CITY, MO 65109-6891
Phone number: 573-638-3400
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Mailing Address
-- LACEY HALE DPT
13610 ROUTE H
HENLEY, MO 65040-2133
Phone number: 573-645-8118
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