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1871055913
LACEY MOSER
BIG STONE CITY, SD
NPI
1871055913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A1749)
Enumeration Date
2019-04-05
Last Update Date
2019-04-05
Business Address
LACEY MOSER
500 CROSS ST
BIG STONE CITY, SD 57216-8237
Phone number: 605-541-1140
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Mailing Address
LACEY MOSER
500 CROSS ST
BIG STONE CITY, SD 57216-8237
Phone number:
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