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1245514785
LACY KENNEDY EATON
LONGVIEW, TX
NPI
1245514785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA07377)
Enumeration Date
2011-10-03
Last Update Date
2014-04-16
Business Address
-- LACY KENNEDY EATON PA
1761 W LOOP 281
LONGVIEW, TX 75604-2734
Phone number: 903-297-1733
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Mailing Address
-- LACY KENNEDY EATON PA
PO BOX 4207
LONGVIEW, TX 75606-4207
Phone number: 903-297-1733
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