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1285982801
ANTHONY W LEE
JACKSONVILLE, FL
NPI
1285982801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-08-29
Last Update Date
2012-08-29
Business Address
Mr. ANTHONY W LEE
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number: 904-845-4008
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Mailing Address
Mr. ANTHONY W LEE
145 FIFTH ST
FOLKSTON, GA 31537-4635
Phone number: 904-845-4008
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