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1154671329
KYUNG JIN LEE
FORT WORTH, TX
NPI
1154671329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 825423)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
-- KYUNG JIN LEE F.N.P.
923 PENNSYLVANIA AVE., SUITE 100
FORT WORTH, TX 76104-2254
Phone number: 817-920-0484
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Mailing Address
-- KYUNG JIN LEE F.N.P.
P. O. BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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