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1043420896
JUDY LANE
SAN RAFAEL, CA
NPI
1043420896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 501901)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Ms. JUDY LANE N.P., R.N.
25 MITCHELL BLVD SUITE 8
SAN RAFAEL, CA 94903-2007
Phone number: 415-472-2343
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Mailing Address
Ms. JUDY LANE N.P., R.N.
30 MARIN VALLEY DR
NOVATO, CA 94949-6806
Phone number: 415-883-3955
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