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1124272745
MARY MICHELE LACKEY
POUGHKEEPSIE, NY
NPI
1124272745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 002135)
Enumeration Date
2008-11-10
Last Update Date
2008-11-10
Business Address
Ms. MARY MICHELE LACKEY P.A.
17 NOXON ST
POUGHKEEPSIE, NY 12601-4101
Phone number: 845-471-1540
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Mailing Address
Ms. MARY MICHELE LACKEY P.A.
17 NOXON ST
POUGHKEEPSIE, NY 12601-4101
Phone number: 845-471-1540
Copy
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