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1255598272
RICKY ALICANTE LAZO
DURHAM, NC
NPI
1255598272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 10650)
Enumeration Date
2008-05-19
Last Update Date
2008-05-19
Business Address
-- RICKY ALICANTE LAZO
4230 N ROXBORO ST
DURHAM, NC 27704-1826
Phone number: 919-477-9805
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Mailing Address
-- RICKY ALICANTE LAZO
3306 GENLEE DR
DURHAM, NC 27704-1872
Phone number: 919-597-8266
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