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1811473580
LACEY J HANSEN
VALDOSTA, GA
NPI
1811473580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN015636)
Enumeration Date
2018-07-16
Last Update Date
2024-04-23
Business Address
Dr. LACEY J HANSEN DMD
103 WOODROW WILSON DR
VALDOSTA, GA 31602-2539
Phone number: 229-242-8088
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Mailing Address
Dr. LACEY J HANSEN DMD
103 WOODROW WILSON DR
VALDOSTA, GA 31602-2539
Phone number: 229-242-8088
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