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1285984260
MICHELLE EILENE LACEY
SAN DIEGO, CA
NPI
1285984260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 39149)
Enumeration Date
2012-09-17
Last Update Date
2012-09-17
Business Address
-- MICHELLE EILENE LACEY DPT
9040 FRIARS RD STE 400
SAN DIEGO, CA 92108-5862
Phone number: 619-284-6377
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Mailing Address
-- MICHELLE EILENE LACEY DPT
2614 JASMINE ST
NATIONAL CITY, CA 91950
Phone number: 480-577-1398
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