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Individual
JESSE M LACY
Active
Individual
JESSE M LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1523
AL
111N00000X
Chiropractor
Primary
CH0005634
FL
111N00000X
Chiropractor
CHIR004995
GA
111N00000X
Chiropractor
DC0000001066
TN
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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