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1366063422
DONALD STEVEN LANE
VICTORVILLE, CA
NPI
1366063422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 290085)
Enumeration Date
2020-04-30
Last Update Date
2020-04-30
Business Address
DONALD STEVEN LANE LVN
12240 HESPERIA RD STE A
VICTORVILLE, CA 92395-8309
Phone number: 760-245-8837
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Mailing Address
DONALD STEVEN LANE LVN
12240 HESPERIA RD STE A
VICTORVILLE, CA 92395-8309
Phone number: 760-245-8837
Copy
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