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1649090077
RYAN J LEE
REDLANDS, CA
NPI
1649090077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95032558)
Enumeration Date
2024-10-11
Last Update Date
2024-10-30
Business Address
Mr. RYAN J LEE PMHNP-BC
515 NEW JERSEY ST STE A
REDLANDS, CA 92373-6249
Phone number: 909-880-4200
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Mailing Address
Mr. RYAN J LEE PMHNP-BC
PO BOX 221
MENTONE, CA 92359-0221
Phone number: 909-353-9172
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