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1093558173
LANCE MICHAEL SUPNET
SAN JOSE, CA
NPI
1093558173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
LANCE MICHAEL SUPNET DPT
4205 SAN FELIPE RD STE 100
SAN JOSE, CA 95135-1546
Phone number: 408-238-1552
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Mailing Address
LANCE MICHAEL SUPNET DPT
3099 WHITESAND DR
SAN JOSE, CA 95148-3056
Phone number: 408-513-5820
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