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1104292309
DARRELL CHARLES LANE
SAN LEANDRO, CA
NPI
1104292309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-08-11
Last Update Date
2018-07-03
Business Address
DARRELL CHARLES LANE
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Phone number: 510-317-1444
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Mailing Address
DARRELL CHARLES LANE
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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