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1760234967
AMANDA K LAC
LOMA LINDA, CA
NPI
1760234967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
AMANDA K LAC DO
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-6688
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Mailing Address
AMANDA K LAC DO
11234 ANDERSON STREET GME OFFICE WESTERLY SUITE "C"
LOMA LINDA, CA 92354-2804
Phone number:
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