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1396518403
LACIE MARIE BAUGHMAN
OAK GROVE, MO
NPI
1396518403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2014020802)
Enumeration Date
2023-10-31
Last Update Date
2023-10-31
Business Address
LACIE MARIE BAUGHMAN COTA/L
501 SE 16TH ST
OAK GROVE, MO 64075
Phone number: 816-690-8770
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Mailing Address
LACIE MARIE BAUGHMAN COTA/L
40009 E DORIS NEER RD
OAK GROVE, MO 64075-7111
Phone number: 816-914-0511
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