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1407280738
LACEY MCKERALL
BOSSIER CITY, LA
NPI
1407280738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 08645)
Enumeration Date
2013-08-22
Last Update Date
2013-08-22
Business Address
-- LACEY MCKERALL DPT
2575 AIRLINE DR
BOSSIER CITY, LA 71111-5812
Phone number: 318-746-7466
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Mailing Address
-- LACEY MCKERALL DPT
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number:
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