NICHOLAS ANTHONY LANE

FESTUS, MO
NPI1851652481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-05-30
Last Update Date2012-05-30
Business Address
-- NICHOLAS ANTHONY LANE
227 E MAIN ST
FESTUS, MO 63028-1952
Phone number: 636-321-0101
Mailing Address
-- NICHOLAS ANTHONY LANE
227 E MAIN ST
FESTUS, MO 63028-1952
Phone number: 636-321-0101
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