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1528504883
LACEY HEXTER
SANTA ROSA, CA
NPI
1528504883
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Former Name
LACEY DIETLIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 292497)
Enumeration Date
2017-01-11
Last Update Date
2022-12-19
Business Address
LACEY HEXTER
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-393-4000
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Mailing Address
LACEY HEXTER
9912 MUROC ST
BELLFLOWER, CA 90706-2552
Phone number: 562-552-1570
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