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1275603342
LACY ANNETTE PETERSON
TULSA, OK
NPI
1275603342
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Other Name
LACY ANNETTE SHOEMAKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK 3230)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Mrs. LACY ANNETTE PETERSON M.S., CCC-SLP
7112 S MINGO RD SUITE 108
TULSA, OK 74133-3201
Phone number: 918-250-7093
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Mailing Address
Mrs. LACY ANNETTE PETERSON M.S., CCC-SLP
7112 S MINGO RD SUITE 108
TULSA, OK 74133-3201
Phone number: 918-250-7093
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