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1720774458
TODD LEE LANE
SAN BERNARDINO, CA
NPI
1720774458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1503610423)
Enumeration Date
2023-04-14
Last Update Date
2024-04-11
Business Address
TODD LEE LANE
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
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Mailing Address
TODD LEE LANE
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number:
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