BRUCE LEE

NEWARK, NY
NPI1689757288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004516)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
Mr. BRUCE LEE PA
1208 DRIVING PARK AVE
NEWARK, NY 14513-1057
Phone number: 315-359-2640
Mailing Address
Mr. BRUCE LEE PA
1208 DRIVING PARK AVE
NEWARK, NY 14513-1057
Phone number: 315-359-2640
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