EMIL GERARD LEE

CANNON AFB, NM
NPI1316393168
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-05-11
Last Update Date2023-04-02
Business Address
EMIL GERARD LEE
208 D L INGRAM AVE W
CANNON AFB, NM 88103-5103
Phone number: 575-784-2778
Mailing Address
EMIL GERARD LEE
104 W D.L. INGRAM AVE
CANNON AFB, NM 88101
Phone number: 575-784-2778
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