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1164008983
TY'RIEK LEWIS LAYNE
LANCASTER, CA
NPI
1164008983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
TY'RIEK LEWIS LAYNE
2031 E DONATELLO ST
LANCASTER, CA 93535-3862
Phone number: 661-860-1048
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Mailing Address
TY'RIEK LEWIS LAYNE
2031 E DONATELLO ST
LANCASTER, CA 93535-3862
Phone number: 661-860-1048
Copy
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