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1538568050
LAURA LACKEY
LYNNWOOD, WA
NPI
1538568050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA MA60487464)
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
-- LAURA LACKEY
16521 13TH AVE W STE 108
LYNNWOOD, WA 98037-8530
Phone number: 520-260-4066
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Mailing Address
-- LAURA LACKEY
1009 135TH AVE SE
SNOHOMISH, WA 98290-5646
Phone number: 520-260-4066
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