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1275902520
JACK LANE
LEWISTON, ID
NPI
1275902520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: ID PTA-3672)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
Mr. JACK LANE PTA
615 29TH ST
LEWISTON, ID 83501-3341
Phone number: 208-985-4722
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Mailing Address
Mr. JACK LANE PTA
615 29TH ST
LEWISTON, ID 83501-3341
Phone number: 208-985-4722
Copy
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