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1144800525
STEPHEN J LANE
EL CAJON, CA
NPI
1144800525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-10
Last Update Date
2021-04-10
Business Address
STEPHEN J LANE
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 800-465-3203
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Mailing Address
STEPHEN J LANE
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 800-465-3203
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