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1124712526
SEONG EUN LEE
LA VERNE, CA
NPI
1124712526
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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
2023-06-07
Last Update Date
2023-06-07
Business Address
Mr. SEONG EUN LEE
2258 BLOSSOM LN
LA VERNE, CA 91750-5213
Phone number: 217-553-3705
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Mailing Address
Mr. SEONG EUN LEE
2258 BLOSSOM LN
LA VERNE, CA 91750-5213
Phone number: 217-553-3705
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