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1699266601
JESSICA IVY LEE
OAKLAND, CA
NPI
1699266601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 17987)
Enumeration Date
2018-05-24
Last Update Date
2018-05-24
Business Address
JESSICA IVY LEE
3801 MAGEE AVE
OAKLAND, CA 94619-1452
Phone number: 646-385-2100
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Mailing Address
JESSICA IVY LEE
3801 MAGEE AVE
OAKLAND, CA 94619-1452
Phone number: 646-385-2100
Copy
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