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1487846960
MICHELLE ELAINE LACEY
WASILLA, AK
NPI
1487846960
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Former Name
MICHELLE ELAINE AXELSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5439)
Enumeration Date
2007-08-17
Last Update Date
2017-06-29
Business Address
-- MICHELLE ELAINE LACEY DPT
3051 E PALMER WASILLA HWY
WASILLA, AK 99654-7234
Phone number: 907-279-4266
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Mailing Address
-- MICHELLE ELAINE LACEY DPT
1917 ABBOTT RD STE 200
ANCHORAGE, AK 99507-3448
Phone number: 907-279-4266
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