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1578144044
JACK LEE
FORT WORTH, TX
NPI
1578144044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
JACK LEE
900 8TH AVE
FORT WORTH, TX 76104-3902
Phone number: 817-347-1140
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Mailing Address
JACK LEE
900 8TH AVE
FORT WORTH, TX 76104-3902
Phone number: 817-347-1140
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