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1417512203
JAEKWAN LEE
FLUSHING, NY
NPI
1417512203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 041462)
Enumeration Date
2019-05-07
Last Update Date
2021-06-02
Business Address
Mr. JAEKWAN LEE
16213 46TH AVE STE 3B
FLUSHING, NY 11358-3698
Phone number: 929-362-7708
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Mailing Address
Mr. JAEKWAN LEE
4362 162ND STREET 2ND FLOOR
FLUSHING, NY 11358
Phone number: 929-362-7708
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