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1659752269
ALICIA MARIE LACY
OLD TOWN, ME
NPI
1659752269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME AT856)
Enumeration Date
2015-06-10
Last Update Date
2023-08-24
Business Address
ALICIA MARIE LACY ATC
19 BACHELDER RD
OLD TOWN, ME 04468-1217
Phone number: 203-843-2930
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Mailing Address
ALICIA MARIE LACY ATC
19 BACHELDER RD
OLD TOWN, ME 04468-1217
Phone number: 203-843-2930
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