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1821115452
JAMES LAKE
LANCASTER, CA
NPI
1821115452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- JAMES LAKE
43423 DIVISION ST STE 107
LANCASTER, CA 93535-4640
Phone number: 661-726-2850
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Mailing Address
-- JAMES LAKE
1848 SIERRA VIEW AVE
LANCASTER, CA 93535-3482
Phone number: 661-940-7491
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