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1194843912
FRED DOUGLASS LEE
COMMERCE, CA
NPI
1194843912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- FRED DOUGLASS LEE
6055 E WASHINGTON BLVD SUITE 900
COMMERCE, CA 90040-2418
Phone number: 323-346-0960
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Mailing Address
-- FRED DOUGLASS LEE
661 N HARBOR BLVD APT 137
SAN PEDRO, CA 90731-1746
Phone number: 310-403-8224
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