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1790817948
LEE LANI CLARK
SAN JOSE, CA
NPI
1790817948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2007-03-12
Last Update Date
2007-07-12
Business Address
MS. LEE LANI CLARK
2221 ENBORG LN
SAN JOSE, CA 95128-2608
Phone number: 408-885-6220
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Mailing Address
MS. LEE LANI CLARK
2221 ENBORG LN
SAN JOSE, CA 95128-2608
Phone number: 408-885-6220
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