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1073134276
LACEY LEE COOPER
ATLANTA, GA
NPI
1073134276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2020-04-29
Last Update Date
2020-04-29
Business Address
Mrs. LACEY LEE COOPER RDH
3189 MAPLE DR NE
ATLANTA, GA 30305-2501
Phone number: 770-998-3838
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Mailing Address
Mrs. LACEY LEE COOPER RDH
713 WOODBRIDGE DR
WOODSTOCK, GA 30188-7146
Phone number: 509-301-2081
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