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1588415863
LACEY FULCHER
SAN DIEGO, CA
NPI
1588415863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95028425)
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
LACEY FULCHER NP-C
4510 EXECUTIVE DR STE 103
SAN DIEGO, CA 92121-3022
Phone number: 858-677-9352
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Mailing Address
LACEY FULCHER NP-C
1835 JAMAICA WAY
VISTA, CA 92081-7000
Phone number: 760-224-6421
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