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1467932228
GRACE LEE
PASADENA, CA
NPI
1467932228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 55812)
Enumeration Date
2018-08-20
Last Update Date
2023-08-08
Business Address
GRACE LEE
625 S FAIR OAKS AVE STE 270&380
PASADENA, CA 91105-2613
Phone number: 424-314-0177
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Mailing Address
GRACE LEE
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone number: 310-423-4700
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