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1578861316
LAURIE LEE LAKE-GREEN
FREDERICKSBURG, VA
NPI
1578861316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306001788)
Enumeration Date
2011-03-02
Last Update Date
2011-03-02
Business Address
MRS. LAURIE LEE LAKE-GREEN PTA
140 BRIMLEY DR
FREDERICKSBURG, VA 22406-5103
Phone number: 540-752-0111
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Mailing Address
MRS. LAURIE LEE LAKE-GREEN PTA
221 LAUREL ST
CULPEPER, VA 22701-4037
Phone number: 540-423-5427
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