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1336603208
LACEY CHRYSTAL SMITH
CAMARILLO, CA
NPI
1336603208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 18270)
Enumeration Date
2019-01-24
Last Update Date
2019-01-24
Business Address
LACEY CHRYSTAL SMITH MS, MSOT, OTR/L
205 GRANADA ST
CAMARILLO, CA 93010-7715
Phone number: 805-842-9805
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Mailing Address
LACEY CHRYSTAL SMITH MS, MSOT, OTR/L
351 KIAWAH RIVER DR
OXNARD, CA 93036-5321
Phone number:
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