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1548688013
LEE JANSSEN
VIRGINIA BEACH, VA
NPI
1548688013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-04-02
Last Update Date
2014-04-02
Business Address
-- LEE JANSSEN
1004 HERMITAGE RD
VIRGINIA BEACH, VA 23459-9100
Phone number: 850-866-4130
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Mailing Address
-- LEE JANSSEN
1004 HERMITAGE RD
VIRGINIA BEACH, VA 23459-9100
Phone number: 850-866-4130
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