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Individual

MRS. JUNE F LACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DA

Contact information

Practice address
1519 ALASKAN WAY S, SEATTLE, WA 98134-1102
(202) 372-4100
Mailing address
427 9TH ST, SAN ANTONIO, TX 78215-1528
(210) 951-3280
(210) 858-9220

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
WA

Other

Enumeration date
12/11/2019
Last updated
12/11/2019
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