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1578018693
KWANG EUN LEE
FRESNO, CA
NPI
1578018693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 820457)
Enumeration Date
2016-08-18
Last Update Date
2016-08-18
Business Address
-- KWANG EUN LEE
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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Mailing Address
-- KWANG EUN LEE
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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