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1871693853
SUSAN GENE LACEY
JOPLIN, MO
NPI
1871693853
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Former Name
SUSAN GENE ELMORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 129117)
Enumeration Date
2006-09-22
Last Update Date
2012-02-17
Business Address
Mrs. SUSAN GENE LACEY RNC MSN WHNP
1905 W 32ND STREET SUITE 306
JOPLIN, MO 64804-1512
Phone number: 417-624-2111
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Mailing Address
Mrs. SUSAN GENE LACEY RNC MSN WHNP
PO BOX 2067
JOPLIN, MO 64804-2067
Phone number: 417-624-2111
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