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1053682203
LACIE D DUFOUR-HESTER
LAKELAND, FL
NPI
1053682203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA10572)
Enumeration Date
2012-01-19
Last Update Date
2012-01-19
Business Address
-- LACIE D DUFOUR-HESTER COTA/L
1010 CARPENTERS WAY
LAKELAND, FL 33809-3926
Phone number: 863-815-0488
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Mailing Address
-- LACIE D DUFOUR-HESTER COTA/L
1010 CARPENTERS WAY
LAKELAND, FL 33809-3926
Phone number:
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