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1891334603
LACEY DIANE COFFEY
DUNCANVILLE, TX
NPI
1891334603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143271)
Enumeration Date
2019-12-26
Last Update Date
2020-01-10
Business Address
LACEY DIANE COFFEY APRN
407 W DANIELDALE RD STE 100
DUNCANVILLE, TX 75137-3927
Phone number: 214-941-3192
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Mailing Address
LACEY DIANE COFFEY APRN
504 N REO ST
TAMPA, FL 33609-1013
Phone number: 813-330-1373
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