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1003311200
MALCOLM JAMAAL LANE
SAN JOSE, CA
NPI
1003311200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
MALCOLM JAMAAL LANE
75 E SANTA CLARA ST
SAN JOSE, CA 95113-1827
Phone number: 866-227-1211
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Mailing Address
MALCOLM JAMAAL LANE
32530 PULASKI DR
HAYWARD, CA 94544-8223
Phone number: 510-331-3307
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