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1295065191
LARRY A. LANGE
EUREKA, CA
NPI
1295065191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-12-28
Last Update Date
2011-01-11
Business Address
LARRY A. LANGE
2413 2ND ST
EUREKA, CA 95501-0811
Phone number: 707-269-9590
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Mailing Address
LARRY A. LANGE
560 HIDDEN VALLEY RD
BAYSIDE, CA 95524-9049
Phone number:
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