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1396103552
TRACY LUCAS
MACON, GA
NPI
1396103552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP005235)
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
-- TRACY LUCAS
127 RIVER FOREST DRIVE
MACON, GA 31211-6323
Phone number: 478-731-9343
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Mailing Address
-- TRACY LUCAS
127 RIVER FOREST DR
MACON, GA 31211-6323
Phone number:
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