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1487214391
LACY RAE PHILLIPS
OMAHA, NE
NPI
1487214391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: NE 1106)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
Miss LACY RAE PHILLIPS PTA
4102 WOOLWORTH AVE
OMAHA, NE 68105-1851
Phone number: 402-444-7000
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Mailing Address
Miss LACY RAE PHILLIPS PTA
4733 S RANCH CIR
BLAIR, NE 68008-6436
Phone number: 712-314-1681
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