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1649047598
LACEY LEWIS
SIMPSONVILLE, SC
NPI
1649047598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3684)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
LACEY LEWIS
345 FIVE FORKS RD
SIMPSONVILLE, SC 29681-6806
Phone number: 843-833-7046
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Mailing Address
LACEY LEWIS
2184 BREWSTER DR
MYRTLE BEACH, SC 29577-1752
Phone number: 843-283-6169
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