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1538617758
IAN LACEY
AUBURN, WA
NPI
1538617758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60668640)
Enumeration Date
2016-09-16
Last Update Date
2016-09-16
Business Address
-- IAN LACEY DPT
720 12TH ST SE
AUBURN, WA 98002-6708
Phone number: 253-735-3606
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Mailing Address
-- IAN LACEY DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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