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1013214287
JAE LEE
DULUTH, GA
NPI
1013214287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: GA LDO002349)
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
-- JAE LEE
1630 PLEASANT HILL RD #B11
DULUTH, GA 30096
Phone number: 678-894-2161
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Mailing Address
-- JAE LEE
3624 DUNBAR LN
SUWANEE, GA 30024-7411
Phone number: 678-907-1587
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