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1013330778
JOHN LANE
BRONX, NY
NPI
1013330778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
-- JOHN LANE
4705 HENRY HUDSON PKWY W 11G
BRONX, NY 10471-3231
Phone number: 914-424-1591
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Mailing Address
-- JOHN LANE
4705 HENRY HUDSON PKWY W 11G
BRONX, NY 10471-3231
Phone number: 914-424-1591
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