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1851926760
REGINA LACY
ST PETERSBURG, FL
NPI
1851926760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
REGINA LACY
4729 39TH AVE N APT 108
ST PETERSBURG, FL 33714-3461
Phone number: 229-375-8325
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Mailing Address
REGINA LACY
PO BOX 55968
SAINT PETERSBURG, FL 33732-5968
Phone number:
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