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1366201584
LANCE BOTELLO
LANCASTER, CA
NPI
1366201584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
LANCE BOTELLO
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-604-1136
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Mailing Address
LANCE BOTELLO
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-604-1136
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