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1689912909
OUIDA MICHELLE LACEY
SAN MARCOS, TX
NPI
1689912909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 767493)
Enumeration Date
2013-01-21
Last Update Date
2021-07-01
Business Address
OUIDA MICHELLE LACEY FNP-C
1305 WONDER WORLD DR STE 300
SAN MARCOS, TX 78666-7541
Phone number: 512-396-3545
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Mailing Address
OUIDA MICHELLE LACEY FNP-C
1305 WONDER WORLD DR STE 300
SAN MARCOS, TX 78666-7541
Phone number: 512-396-3545
Copy
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