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1154168979
GRACE LEE
NEW YORK, NY
NPI
1154168979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 311775)
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
GRACE LEE AGNP-C
5030 BROADWAY
NEW YORK, NY 10034-1609
Phone number: 718-412-3445
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Mailing Address
GRACE LEE AGNP-C
5030 BROADWAY
NEW YORK, NY 10034-1609
Phone number: 718-412-3445
Copy
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