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1417257486
MELISSA LYNN LACKEY
ORANGE, CA
NPI
1417257486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: CA A3841492)
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
MELISSA LYNN LACKEY
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-456-2986
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Mailing Address
MELISSA LYNN LACKEY
101 THE CITY DRIVE SOUTH
ORANGE, CA 92868
Phone number: 714-456-2986
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