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1912015066
ERIC JOHN LACKEY
DANVILLE, VA
NPI
1912015066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305202624)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
Mr. ERIC JOHN LACKEY
2140 FRANKLIN TPKE
DANVILLE, VA 24540-5264
Phone number: 434-836-0239
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Mailing Address
Mr. ERIC JOHN LACKEY
2140 FRANKLIN TPKE
DANVILLE, VA 24540-5264
Phone number: 434-836-0239
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