LACI DAWN JOHNCOCK

WYOMING, MI
NPI1972989655
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502003277)
Enumeration Date2015-08-05
Last Update Date2015-08-05
Business Address
-- LACI DAWN JOHNCOCK
2786 56TH STREET
WYOMING, MI 49418
Phone number: 616-261-3960
Mailing Address
-- LACI DAWN JOHNCOCK
11252 SPRAGUE ROAD
DELTON, MI 49046
Phone number: 269-365-8090
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