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1508348202
LACY SWOAPE
TYLER, TX
NPI
1508348202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX 2141343)
Enumeration Date
2018-08-30
Last Update Date
2021-06-10
Business Address
LACY SWOAPE
5505 NEW COPELAND RD
TYLER, TX 75703-3955
Phone number: 903-939-2443
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Mailing Address
LACY SWOAPE
5505 NEW COPELAND RD
TYLER, TX 75703-3955
Phone number:
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