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1649711607
SU JUNG LEE
BRONX, NY
NPI
1649711607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F339575)
Enumeration Date
2017-03-10
Last Update Date
2017-03-30
Business Address
-- SU JUNG LEE
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
-- SU JUNG LEE
3198 GRAND CONCOURSE
BRONX, NY 10458-1000
Phone number: 718-618-0401
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