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1104212166
GIWON LEE
BAYSIDE, NY
NPI
1104212166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 035623)
Enumeration Date
2015-04-07
Last Update Date
2022-07-21
Business Address
-- GIWON LEE P.T.
4630 206TH ST FL 1
BAYSIDE, NY 11361
Phone number: 503-901-9772
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Mailing Address
-- GIWON LEE P.T.
4630 206TH ST FL 1
BAYSIDE, NY 11361
Phone number: 503-901-9772
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