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1609169325
JUSTIN LEE
COSTA MESA, CA
NPI
1609169325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-05-27
Last Update Date
2011-05-27
Business Address
Mr. JUSTIN LEE
3188 AIRWAY AVE
COSTA MESA, CA 92626-4652
Phone number: 714-689-1380
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Mailing Address
Mr. JUSTIN LEE
3188 AIRWAY AVE
COSTA MESA, CA 92626-4652
Phone number: 714-689-1380
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