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1316074891
CHARLES CARL LACY
SACRAMENTO, CA
NPI
1316074891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-28
Last Update Date
2015-08-14
Business Address
Mr. CHARLES CARL LACY
7000 FRANKLIN BLVD STE 200
SACRAMENTO, CA 95823-1865
Phone number: 916-394-9195
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Mailing Address
Mr. CHARLES CARL LACY
7000 FRANKLIN BLV. #200
SACRAMENTO, CA 95823
Phone number: 916-394-9195
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