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1265006258
111 FASHION LANE LLC
TUSTIN, CA
NPI
1265006258
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Entity Type
Organization
Authorized Contact
AGNES YEN SINCLAIR
Manager
626-429-9290
Organization Subpart ?
No
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
111 FASHION LANE LLC
111 FASHION LN
TUSTIN, CA 92780-3306
Phone number: 714-619-8636
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Mailing Address
111 FASHION LANE LLC
111 FASHION LN
TUSTIN, CA 92780-3306
Phone number: 714-619-8636
Copy
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