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1174280564
BRETT TYSON LEE
MOBILE, AL
NPI
1174280564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 6561542)
Enumeration Date
2021-11-20
Last Update Date
2023-07-19
Business Address
BRETT TYSON LEE
8501 TANNER WILLIAMS RD
MOBILE, AL 36608-8322
Phone number: 514-416-7252
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Mailing Address
BRETT TYSON LEE
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-679-9734
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