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1801214002
GRACE HYEIWON LEE
TAMPA, FL
NPI
1801214002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL OS15548)
Enumeration Date
2014-04-03
Last Update Date
2021-03-31
Business Address
GRACE HYEIWON LEE D.O.
3515 E FLETCHER AVE
TAMPA, FL 33613
Phone number: 813-974-2201
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Mailing Address
GRACE HYEIWON LEE D.O.
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number:
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