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1942842885
ADAM EDWARD LANE
CITRUS HEIGHTS, CA
NPI
1942842885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
ADAM EDWARD LANE
6400 TUPELO DR
CITRUS HEIGHTS, CA 95621-1741
Phone number: 916-729-3098
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Mailing Address
ADAM EDWARD LANE
6400 TUPELO DR
CITRUS HEIGHTS, CA 95621-1741
Phone number:
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