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1164075057
LACI J. MARTIN
SAN ANGELO, TX
NPI
1164075057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP142315)
Enumeration Date
2019-07-19
Last Update Date
2019-07-19
Business Address
LACI J. MARTIN FNP
102 N MAGDALEN ST
SAN ANGELO, TX 76903-5400
Phone number: 325-481-2281
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Mailing Address
LACI J. MARTIN FNP
PO BOX 22000
SAN ANGELO, TX 76902-7200
Phone number: 325-658-1511
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