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1891058947
STEPHANIE J LAKE
DAVIS, CA
NPI
1891058947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA CATC #091698)
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
-- STEPHANIE J LAKE CATC
ONE SHIELDS AVE UC DAVIS STUDENT HEALTH AND COUSELING SERVICES
DAVIS, CA 95616
Phone number: 530-752-6334
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Mailing Address
-- STEPHANIE J LAKE CATC
ONE SHIELDS AVE UC DAVIS STUDENT HEALTH AND COUSELING SERVICES
DAVIS, CA 95616
Phone number: 530-752-6334
Copy
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