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1326474651
LACEY MICHELLE DEARMORE
WICHITA, KS
NPI
1326474651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-01530)
Enumeration Date
2013-09-18
Last Update Date
2013-09-18
Business Address
-- LACEY MICHELLE DEARMORE LPTA
1603 N CHAPEL HILL ST
WICHITA, KS 67206-5506
Phone number: 316-440-6551
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Mailing Address
-- LACEY MICHELLE DEARMORE LPTA
1965 N STONEY POINT CT
WICHITA, KS 67212-6498
Phone number: 316-393-0563
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