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1174251029
LANE HAILE
FAIRFIELD, CA
NPI
1174251029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: CA 6202)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
Miss LANE HAILE SLPA
5030 BUSINESS CENTER DR STE 245
FAIRFIELD, CA 94534-6909
Phone number: 707-681-0373
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Mailing Address
Miss LANE HAILE SLPA
124 KINGSLAND CT
VACAVILLE, CA 95687-6221
Phone number: 707-971-0832
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