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1073102943
JESSICA MITSUKO LEE
LOS ANGELES, CA
NPI
1073102943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC 5922)
Enumeration Date
2021-01-14
Last Update Date
2022-07-08
Business Address
JESSICA MITSUKO LEE
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027-6062
Phone number: 323-361-3849
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Mailing Address
JESSICA MITSUKO LEE
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027-6062
Phone number: 323-361-3849
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