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1558555177
LINDA DAVIS-LANE
BLOOMINGTON, CA
NPI
1558555177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-28
Last Update Date
2007-08-28
Business Address
-- LINDA DAVIS-LANE
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2636
Phone number: 909-421-7120
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Mailing Address
-- LINDA DAVIS-LANE
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2636
Phone number: 909-421-7120
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