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1164022448
KWANG YEON CAROL LEE
ORANGE, CA
NPI
1164022448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95015771)
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
KWANG YEON CAROL LEE
101 THE CITY DR S
ORANGE, CA 92868-3298
Phone number: 714-880-7812
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Mailing Address
KWANG YEON CAROL LEE
2119 WINTERWOOD DR
FULLERTON, CA 92833-1251
Phone number: 310-694-4318
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