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1154017770
JONG HYUN LEE
FARMINGTON, CT
NPI
1154017770
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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: CT 13752)
Enumeration Date
2023-04-17
Last Update Date
2023-05-20
Business Address
JONG HYUN LEE
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
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Mailing Address
JONG HYUN LEE
303 OLD TOWN RD
EAST SETAUKET, NY 11733-2648
Phone number:
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