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1356501936
TRACI LACY
PLYMOUTH MEETING, PA
NPI
1356501936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IN 27050962A)
Enumeration Date
2008-06-17
Last Update Date
2008-06-17
Business Address
-- TRACI LACY
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- TRACI LACY
11410 DUNSHIRE DR
INDIANAPOLIS, IN 46229-2873
Phone number:
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