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1124056536
KEVIN DANIEL LANE
STOCKTON, CA
NPI
1124056536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT20980)
Enumeration Date
2006-06-28
Last Update Date
2017-04-18
Business Address
-- KEVIN DANIEL LANE PT
534 E PINE ST SUITE A
STOCKTON, CA 95204-5536
Phone number: 209-463-5800
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Mailing Address
-- KEVIN DANIEL LANE PT
534 E PINE ST SUITE A
STOCKTON, CA 95204-5536
Phone number: 209-463-5800
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