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1407216070
SUSAN LACZKO
PADUCAH, KY
NPI
1407216070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 135993)
Enumeration Date
2016-02-25
Last Update Date
2017-05-04
Business Address
-- SUSAN LACZKO
142 STUART NELSON PARK RD
PADUCAH, KY 42001-9678
Phone number: 270-442-9502
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Mailing Address
-- SUSAN LACZKO
142 STUART NELSON PARK RD
PADUCAH, KY 42001-9678
Phone number:
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