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1629100110
ANGELA M LACY
INDIANAPOLIS, IN
NPI
1629100110
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Former Name
ANGELA M BURCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31001390A)
Enumeration Date
2007-03-10
Last Update Date
2020-01-16
Business Address
Mrs. ANGELA M LACY OTR
6658 E 10TH ST
INDIANAPOLIS, IN 46219-3416
Phone number: 317-840-1077
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Mailing Address
Mrs. ANGELA M LACY OTR
6658 E 10TH STREET
INDIANAPOLIS, IN 46219
Phone number: 317-840-1077
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