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1942619150
TERRI LACEY
SHOW LOW, AZ
NPI
1942619150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 5530)
Enumeration Date
2014-08-13
Last Update Date
2014-08-13
Business Address
-- TERRI LACEY OT
1294 FAWN BROOK DR
SHOW LOW, AZ 85901-7654
Phone number: 951-295-5275
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Mailing Address
-- TERRI LACEY OT
HC 30 BOX 9E
CONCHO, AZ 85924-9309
Phone number: 951-295-5275
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