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1134711682
LANA WIENS
SAN LEANDRO, CA
NPI
1134711682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP11240)
Enumeration Date
2021-02-05
Last Update Date
2022-02-11
Business Address
LANA WIENS CCC-SLP
2500 MERCED ST
SAN LEANDRO, CA 94577-4201
Phone number: 510-454-1000
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Mailing Address
LANA WIENS CCC-SLP
900 143RD AVE APT 223
SAN LEANDRO, CA 94578-3351
Phone number: 805-748-9074
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