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1831704188
LACY LYNN GRANGER
PEORIA, AZ
NPI
1831704188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 046846)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
LACY LYNN GRANGER
26877 N 87TH LN
PEORIA, AZ 85383-3716
Phone number: 575-302-8331
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Mailing Address
LACY LYNN GRANGER
26877 N 87TH LN
PEORIA, AZ 85383-3716
Phone number: 575-302-8331
Copy
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