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1255933479
LACEY JAYMES REZUCHA
JOHNSON CITY, NY
NPI
1255933479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 045963-01)
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
Miss LACEY JAYMES REZUCHA DPT
153 OAKDALE RD STE 2
JOHNSON CITY, NY 13790-1007
Phone number: 607-217-0825
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Mailing Address
Miss LACEY JAYMES REZUCHA DPT
153 OAKDALE RD STE 2
JOHNSON CITY, NY 13790-1007
Phone number: 607-217-0825
Copy
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