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1346798592
LANCE JAY PARKS
CHINO HILLS, CA
NPI
1346798592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCS17810)
Enumeration Date
2016-09-16
Last Update Date
2017-04-27
Business Address
LANCE JAY PARKS
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709-5447
Phone number: 909-628-1217
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Mailing Address
LANCE JAY PARKS
1907 BOYS REPUBLIC DR
CHINO HILLS, CA 91709-5447
Phone number: 909-628-1217
Copy
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