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1184772972
JIVIANNE KRISTINE TAN LEE
SANTA MONICA, CA
NPI
1184772972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: CA A72248)
Enumeration Date
2007-01-08
Last Update Date
2019-12-04
Business Address
JIVIANNE KRISTINE TAN LEE MD
1131 WILSHIRE BLVD STE 302
SANTA MONICA, CA 90401-2061
Phone number: 424-259-6559
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Mailing Address
JIVIANNE KRISTINE TAN LEE MD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number:
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