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1801296967
LACEY HINTZ
LAFAYETTE, IN
NPI
1801296967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 99063405A)
Enumeration Date
2014-08-26
Last Update Date
2014-08-26
Business Address
-- LACEY HINTZ
2308 EDGELEA DR
LAFAYETTE, IN 47909
Phone number: 765-237-4589
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Mailing Address
-- LACEY HINTZ
2308 EDGELEA DR
LAFAYETTE, IN 47909-2509
Phone number: 765-237-4589
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