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1033583992
JIN KYU LEE
BARSTOW, CA
NPI
1033583992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 65195)
Enumeration Date
2015-11-16
Last Update Date
2015-11-16
Business Address
-- JIN KYU LEE
912 E MAIN ST
BARSTOW, CA 92311-2406
Phone number: 760-255-1206
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Mailing Address
-- JIN KYU LEE
912 E MAIN ST
BARSTOW, CA 92311-2406
Phone number: 760-255-1206
Copy
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