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1457045759
LACEY DUFFIN
PHOENIX, AZ
NPI
1457045759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 1081051)
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
LACEY DUFFIN RD
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
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Mailing Address
LACEY DUFFIN RD
1024 W 10TH ST
MESA, AZ 85201-3926
Phone number: 208-221-4455
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