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1861178980
ALEXIS MARCIA LACEWELL
WINSTON SALEM, NC
NPI
1861178980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P22061)
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
ALEXIS MARCIA LACEWELL PT, DPT
131 MILLER ST
WINSTON SALEM, NC 27103-2508
Phone number: 336-716-8847
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Mailing Address
ALEXIS MARCIA LACEWELL PT, DPT
125 WESTDALE AVE
WINSTON SALEM, NC 27101-3619
Phone number: 910-874-5181
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