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1477327138
JACOB A LEE
SAN DIEGO, CA
NPI
1477327138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
Mr. JACOB A LEE SFIDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
Mr. JACOB A LEE SFIDC
3950 LOUISIANA ST UNIT 205
SAN DIEGO, CA 92104-6433
Phone number: 405-620-3841
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