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1548962343
LACEY LEE PETERNELL
GRASS VALLEY, CA
NPI
1548962343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-03-17
Last Update Date
2024-02-01
Business Address
LACEY LEE PETERNELL
500 CROWN POINT CIR STE 100
GRASS VALLEY, CA 95945-9561
Phone number: 530-273-5440
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Mailing Address
LACEY LEE PETERNELL
13556 TRANQUILITY LN
NEVADA CITY, CA 95959-9670
Phone number:
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