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1194569772
JAEHOON LEE
ANAHEIM, CA
NPI
1194569772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 51866)
Enumeration Date
2024-06-19
Last Update Date
2024-06-19
Business Address
JAEHOON LEE
1040 N ANAHEIM BLVD UNIT 2
ANAHEIM, CA 92801-2593
Phone number: 714-357-3522
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Mailing Address
JAEHOON LEE
1040 N ANAHEIM BLVD UNIT 2
ANAHEIM, CA 92801-2593
Phone number:
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