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1134666225
MICKEY LEE
MANTECA, CA
NPI
1134666225
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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
2017-01-26
Last Update Date
2017-01-26
Business Address
-- MICKEY LEE
367 N UNION RD APT 112
MANTECA, CA 95337-4386
Phone number: 209-610-4388
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Mailing Address
-- MICKEY LEE
367 N UNION RD APT 112
MANTECA, CA 95337-4386
Phone number:
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