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1689092140
NICHOLAS LEE
ORANGE, CA
NPI
1689092140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-04-02
Last Update Date
2021-12-01
Business Address
NICHOLAS LEE
101 THE CITY DR S CITY TOWER, SUITE 400
ORANGE, CA 92868-3201
Phone number: 714-456-6693
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Mailing Address
NICHOLAS LEE
393 E WALNUT ST FL 3 PHR GROUP PROVIDER ENROLLMENT UNIT
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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