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1659115814
JEONGWOO LEE
TULSA, OK
NPI
1659115814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-22
Last Update Date
2024-06-22
Business Address
JEONGWOO LEE DO
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
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Mailing Address
JEONGWOO LEE DO
3775 SOUTHRIDGE CIR APT 11
TAHLEQUAH, OK 74464-7941
Phone number: 405-922-3603
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