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1275833345
KACEY JOLENE LEWIS
SEAL BEACH, CA
NPI
1275833345
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Former Name
KACEY JOLENE CRENSHAW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA 000000000)
Enumeration Date
2010-10-23
Last Update Date
2012-11-25
Business Address
Mrs. KACEY JOLENE LEWIS PT, MPT, OCS
1016 OCEAN AVE APT H
SEAL BEACH, CA 90740-6480
Phone number: 562-212-7102
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Mailing Address
Mrs. KACEY JOLENE LEWIS PT, MPT, OCS
1016 OCEAN AVE APT H
SEAL BEACH, CA 90740-6480
Phone number:
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