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1972763167
DEBRA LACEY
PINE RIDGE, SD
NPI
1972763167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0705X Registered Nurse Medical-Surgical
(Licence: SD R032781)
Enumeration Date
2008-06-11
Last Update Date
2008-06-11
Business Address
DEBRA LACEY RN
HWY 18
PINE RIDGE, SD 57770
Phone number: 605-867-5131
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Mailing Address
DEBRA LACEY RN
POB 1201 HWY 18
PINE RIDGE, SD 57770
Phone number: 605-867-5131
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