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1255945069
JEREMY LEE
SAN DIEGO, CA
NPI
1255945069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-08-31
Last Update Date
2020-08-31
Business Address
JEREMY LEE SFIDC
509 DENNERY RD APT 145
SAN DIEGO, CA 92154-8542
Phone number: 916-895-4954
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Mailing Address
JEREMY LEE SFIDC
509 DENNERY RD APT 145
SAN DIEGO, CA 92154-8542
Phone number:
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