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1710421540
STEPHANIE LYNN LANE
MEDFORD, OR
NPI
1710421540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-12-13
Last Update Date
2016-12-13
Business Address
-- STEPHANIE LYNN LANE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-816-7224
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Mailing Address
-- STEPHANIE LYNN LANE
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-816-7224
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