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1730848201
LACEY ELIZABETH ROACH
OKLAHOMA CITY, OK
NPI
1730848201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R023091)
Enumeration Date
2021-12-13
Last Update Date
2024-02-28
Business Address
Miss LACEY ELIZABETH ROACH CNP
6516 N OLIE AVE STE G
OKLAHOMA CITY, OK 73116-7399
Phone number: 405-608-8060
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Mailing Address
Miss LACEY ELIZABETH ROACH CNP
6516 N OLIE AVE STE G
OKLAHOMA CITY, OK 73116-7399
Phone number: 405-608-8060
Copy
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