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1114412103
LACEY SULLIVAN
HOOVER, AL
NPI
1114412103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AL 6510)
Enumeration Date
2018-06-22
Last Update Date
2024-04-08
Business Address
LACEY SULLIVAN
1015 BROCKS GAP PKWY
HOOVER, AL 35244-4032
Phone number: 205-982-0112
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Mailing Address
LACEY SULLIVAN
1015 BROCKS GAP PKWY
HOOVER, AL 35244-4032
Phone number: 205-982-0112
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