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1245625003
MARK THEODORE LEE
MANKATO, MN
NPI
1245625003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MN 67264)
Enumeration Date
2015-03-30
Last Update Date
2021-06-27
Business Address
DR. MARK THEODORE LEE D.O.
1025 MARSH ST
MANKATO, MN 56001-4752
Phone number: 507-625-4031
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Mailing Address
DR. MARK THEODORE LEE D.O.
1025 MARSH ST
MANKATO, MN 56001-4752
Phone number: 507-625-4031
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