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1104085471
AMY E LANE
JACKSONVILLE, FL
NPI
1104085471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-06-03
Last Update Date
2011-12-21
Business Address
Mrs. AMY E LANE
910 N JEFFERSON ST
JACKSONVILLE, FL 32209-6810
Phone number: 904-360-7022
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Mailing Address
Mrs. AMY E LANE
910 N JEFFERSON ST
JACKSONVILLE, FL 32209-6810
Phone number: 904-360-7022
Copy
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