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1578099248
BANEKA LANE
COLUMBIA, MS
NPI
1578099248
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Professional Name
JONATHAN LANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 23859)
Enumeration Date
2017-05-02
Last Update Date
2017-05-02
Business Address
Mrs. BANEKA LANE Owner
202 KATHERINE DR
COLUMBIA, MS 39429-8747
Phone number: 601-441-3680
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Mailing Address
Mrs. BANEKA LANE Owner
419 COLUMBIA ST
BOGALUSA, LA 70427-4500
Phone number: 601-441-3680
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