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1063741692
LACEY JENNIFER MOBLEY
MADISON, WI
NPI
1063741692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11163-24)
Enumeration Date
2009-12-10
Last Update Date
2009-12-10
Business Address
-- LACEY JENNIFER MOBLEY
600 HIGHLAND AVE MC 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
-- LACEY JENNIFER MOBLEY
600 HIGHLAND AVE MC 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Copy
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