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1467941401
JAEWON LEE
TUSTIN, CA
NPI
1467941401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95008747)
Enumeration Date
2018-05-04
Last Update Date
2023-03-16
Business Address
JAEWON LEE NP
661 W 1ST ST STE G
TUSTIN, CA 92780-2939
Phone number: 714-665-9890
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Mailing Address
JAEWON LEE NP
4477 W 118TH ST STE 409
HAWTHORNE, CA 90250-2259
Phone number: 310-219-0647
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