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1952884405
KELLEY LACEY
MUNCIE, IN
NPI
1952884405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 360002786A)
Enumeration Date
2018-09-11
Last Update Date
2024-07-10
Business Address
KELLEY LACEY MAT, LAT, ATC
2201 W UNIVERSITY AVE
MUNCIE, IN 47306-2943
Phone number: 765-625-0244
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Mailing Address
KELLEY LACEY MAT, LAT, ATC
9301 W WINDSOR RD
FARMLAND, IN 47340-9445
Phone number:
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