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1194563957
ASHLEA MICKELLE LACEY
SPRINGFIELD, MO
NPI
1194563957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2024025449)
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
ASHLEA MICKELLE LACEY NP
3805 S KANSAS EXPY STE B
SPRINGFIELD, MO 65807-6989
Phone number: 417-269-0269
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Mailing Address
ASHLEA MICKELLE LACEY NP
3805 S KANSAS EXPY STE B
SPRINGFIELD, MO 65807-6989
Phone number: 417-366-0402
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