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1518916998
CHAE EUN LEE
TUCKER, GA
NPI
1518916998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA RN062923)
Enumeration Date
2006-05-10
Last Update Date
2008-08-12
Business Address
-- CHAE EUN LEE GNP
1990 LAKESIDE PKWY SUITE 170
TUCKER, GA 30084-5884
Phone number: 770-938-1757
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Mailing Address
-- CHAE EUN LEE GNP
PO BOX 13003
ATLANTA, GA 30324-0003
Phone number: 770-938-1757
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