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1043390172
JOHN SHACKELFORD LANE
SAN DIEGO, CA
NPI
1043390172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: CA 000000G81602)
Enumeration Date
2006-10-16
Last Update Date
2013-04-04
Business Address
Dr. JOHN SHACKELFORD LANE MD
200 W ARBOR DR MAILCODE 7403
SAN DIEGO, CA 92103-9000
Phone number: 858-657-7404
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Mailing Address
Dr. JOHN SHACKELFORD LANE MD
200 WEST ARBOR DRIVE MAILCODE 7403
SAN DIEGO, CA 92103-7403
Phone number: 858-657-7404
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