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1952160418
LAWRENCE JUSTIN CHEN
ELK GROVE, CA
NPI
1952160418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
LAWRENCE JUSTIN CHEN
9700 W TARON DR
ELK GROVE, CA 95757-8145
Phone number: 650-862-6196
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Mailing Address
LAWRENCE JUSTIN CHEN
9700 W TARON DR
ELK GROVE, CA 95757-8145
Phone number:
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