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1790902997
ANDREA LYNN LANE
SAN DIEGO, CA
NPI
1790902997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA18134)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- ANDREA LYNN LANE PA-C
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108-3538
Phone number: 619-881-4500
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Mailing Address
-- ANDREA LYNN LANE PA-C
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108-3538
Phone number: 619-881-4500
Copy
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