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1306407937
LACEY WHITE
OGDEN, UT
NPI
1306407937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 11327525-2401)
Enumeration Date
2019-06-25
Last Update Date
2019-08-02
Business Address
LACEY WHITE DPT
5349 ADAMS AVE PKWY STE A
OGDEN, UT 84405-4736
Phone number: 801-479-9865
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Mailing Address
LACEY WHITE DPT
1702 E 5600 S
OGDEN, UT 84403-4384
Phone number: 801-689-2546
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