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1356026405
TIMOTHY WONG SUNG LEE
LOMA LINDA, CA
NPI
1356026405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95023451)
Enumeration Date
2023-06-16
Last Update Date
2024-09-12
Business Address
TIMOTHY WONG SUNG LEE
11448 LOMA LINDA DR
LOMA LINDA, CA 92354-3744
Phone number: 301-821-3477
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Mailing Address
TIMOTHY WONG SUNG LEE
3660 PARK SIERRA DR STE 203
RIVERSIDE, CA 92505-3071
Phone number: 951-687-3400
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