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1255054631
LACY JAY NASSEH
WALNUT CREEK, CA
NPI
1255054631
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Former Name
LACY JAY MARTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95120763)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
LACY JAY NASSEH FNP
2255 YGNACIO VALLEY RD STE T35
WALNUT CREEK, CA 94598-3343
Phone number: 925-681-9246
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Mailing Address
LACY JAY NASSEH FNP
1574 SUNNYVALE AVE APT 35
WALNUT CREEK, CA 94597-1929
Phone number: 925-681-9246
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