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1639833312
JAE YONG LEE
LOS ANGELES, CA
NPI
1639833312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT300566)
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
Dr. JAE YONG LEE PT, DPT, CSCS, TSACf
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
Dr. JAE YONG LEE PT, DPT, CSCS, TSACf
524 HUGHES ST
NORTHVALE, NJ 07647-1019
Phone number:
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