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1730548637
LACY BERKSHIRE
FORT HUACHUCA, AZ
NPI
1730548637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP042484)
Enumeration Date
2016-02-19
Last Update Date
2016-05-06
Business Address
-- LACY BERKSHIRE
2240 WINROW RD USA MEDDAC, RWBAHC
FORT HUACHUCA, AZ 85631
Phone number: 520-533-3634
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Mailing Address
-- LACY BERKSHIRE
2240 WINROW AVE USA MEDDAC, RWBAHC
FORT HUACHUCA, AZ 85613
Phone number: 520-533-3634
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