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1093402885
LACEY NICOLE VAUGHT
LYNCHBURG, VA
NPI
1093402885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131002200)
Enumeration Date
2023-04-20
Last Update Date
2023-04-20
Business Address
LACEY NICOLE VAUGHT COTA/L
189 MONICA BLVD
LYNCHBURG, VA 24502-2213
Phone number: 434-847-2860
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Mailing Address
LACEY NICOLE VAUGHT COTA/L
241 OLD BARN RD
TROUTVILLE, VA 24175-7099
Phone number: 540-816-7316
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