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1700856085
ALEXIS GRACE LANE
APTOS, CA
NPI
1700856085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CA G81601)
Enumeration Date
2006-01-26
Last Update Date
2009-02-26
Business Address
-- ALEXIS GRACE LANE MD FACS
8055 VALENCIA ST
APTOS, CA 95003-3954
Phone number: 831-688-8333
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Mailing Address
-- ALEXIS GRACE LANE MD FACS
8055 VALENCIA ST
APTOS, CA 95003-3954
Phone number: 831-688-8333
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