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1407510480
LACEY POWELL
MADISONVILLE, KY
NPI
1407510480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A03771)
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
LACEY POWELL PTA
775 CHICKASAW DR
MADISONVILLE, KY 42431-3903
Phone number: 270-584-4482
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Mailing Address
LACEY POWELL PTA
775 CHICKASAW DR
MADISONVILLE, KY 42431-3903
Phone number: 270-584-4482
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