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1407636319
SHADEE LAINES
SANTA ROSA, CA
NPI
1407636319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
SHADEE LAINES
480 TESCONI CIR STE B
SANTA ROSA, CA 95401-4691
Phone number: 707-206-7268
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Mailing Address
SHADEE LAINES
480 TESCONI CIR STE B
SANTA ROSA, CA 95401-4691
Phone number:
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