LACY KENNEDY EATON

LONGVIEW, TX
NPI1245514785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA07377)
Enumeration Date2011-10-03
Last Update Date2014-04-16
Business Address
-- LACY KENNEDY EATON PA
1761 W LOOP 281
LONGVIEW, TX 75604-2734
Phone number: 903-297-1733
Mailing Address
-- LACY KENNEDY EATON PA
PO BOX 4207
LONGVIEW, TX 75606-4207
Phone number: 903-297-1733
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