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1508867656
BRIAN J LEE
FORT WAYNE, IN
NPI
1508867656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: IN 01040298A)
Enumeration Date
2005-08-10
Last Update Date
2012-03-06
Business Address
-- BRIAN J LEE MD
7910 W JEFFERSON BLVD STE 212
FORT WAYNE, IN 46804-4159
Phone number: 260-427-7473
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Mailing Address
-- BRIAN J LEE MD
7910 W JEFFERSON BLVD STE 212
FORT WAYNE, IN 46804-4159
Phone number: 260-427-7473
Copy
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