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1235878851
YOUNSAUP GRACE LEE
ROCKFORD, IL
NPI
1235878851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046.011678)
Enumeration Date
2022-06-01
Last Update Date
2022-08-16
Business Address
Dr. YOUNSAUP GRACE LEE OD
6055 E STATE ST STE D01A
ROCKFORD, IL 61108-2512
Phone number: 832-576-4089
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Mailing Address
Dr. YOUNSAUP GRACE LEE OD
6055 E STATE ST STE D01A
ROCKFORD, IL 61108-2512
Phone number: 832-576-4089
Copy
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