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1194475798
JAN LEE
URBANA, IL
NPI
1194475798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
JAN LEE
506 S MATHEWS AVE
URBANA, IL 61801-3618
Phone number: 217-300-5700
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Mailing Address
JAN LEE
506 S MATHEWS AVE
URBANA, IL 61801-3618
Phone number:
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