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1659520443
KRISTIE ANN LACKEY
VANCOUVER, WA
NPI
1659520443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 7841)
Enumeration Date
2008-09-16
Last Update Date
2008-09-16
Business Address
MRS. KRISTIE ANN LACKEY PTA
7101 NE 137TH AVE
VANCOUVER, WA 98682-4933
Phone number: 360-944-4998
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Mailing Address
MRS. KRISTIE ANN LACKEY PTA
7101 NE 137TH AVE
VANCOUVER, WA 98682-4933
Phone number: 360-944-4998
Copy
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