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1659135317
ASHLEE LAKE
SANTA ROSA, CA
NPI
1659135317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-02-12
Last Update Date
2024-11-13
Business Address
ASHLEE LAKE
3400 MONTGOMERY DR
SANTA ROSA, CA 95405-5142
Phone number: 707-526-6902
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Mailing Address
ASHLEE LAKE
3400 MONTGOMERY DR
SANTA ROSA, CA 95405-5142
Phone number: 707-526-6902
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