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1861999005
JONGSERK ROBERT LEE
MODESTO, CA
NPI
1861999005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA 17556)
Enumeration Date
2018-04-12
Last Update Date
2023-09-25
Business Address
JONGSERK ROBERT LEE DO, MS
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
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Mailing Address
JONGSERK ROBERT LEE DO, MS
1000 W CARSON ST # 432
TORRANCE, CA 90502-2059
Phone number: 424-306-6520
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