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1144943218
DANIEL JACOB LEE
CHARLOTTE, NC
NPI
1144943218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-14125)
Enumeration Date
2022-09-22
Last Update Date
2024-07-15
Business Address
DANIEL JACOB LEE PA
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1255
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Mailing Address
DANIEL JACOB LEE PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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