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1093865990
JACKI LYNN LEASE
SACRAMENTO, CA
NPI
1093865990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-11
Last Update Date
2020-02-24
Business Address
JACKI LYNN LEASE
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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Mailing Address
JACKI LYNN LEASE
3532 CODY WAY
SACRAMENTO, CA 95864-1535
Phone number: 916-628-2320
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