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1689654584
IRA LEE
LAKE CITY, FL
NPI
1689654584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP3091702)
Enumeration Date
2006-01-18
Last Update Date
2015-05-01
Business Address
-- IRA LEE NP
777 W DUVAL ST
LAKE CITY, FL 32055-5806
Phone number: 386-755-3300
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Mailing Address
-- IRA LEE NP
777 W DUVAL ST
LAKE CITY, FL 32055-5806
Phone number: 386-755-3300
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