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1376550715
JAESUNG LEE
THOUSAND OAKS, CA
NPI
1376550715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CA G64716)
Enumeration Date
2006-08-01
Last Update Date
2011-11-09
Business Address
Dr. JAESUNG LEE M.D.
301 S MOORPARK RD
THOUSAND OAKS, CA 91361-1008
Phone number: 805-379-9646
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Mailing Address
Dr. JAESUNG LEE M.D.
2876 SYCAMORE DR SUITE 303
SIMI VALLEY, CA 93065-1530
Phone number: 805-527-7320
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