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1952004095
JAE YOUNG LEE
VICTORVILLE, CA
NPI
1952004095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95024373)
Enumeration Date
2023-03-27
Last Update Date
2023-11-24
Business Address
JAE YOUNG LEE
15095 AMARGOSA RD STE 102
VICTORVILLE, CA 92394-1875
Phone number: 760-552-4470
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Mailing Address
JAE YOUNG LEE
7425 S 9TH ST. #119
BUENA PARK, CA 90621-7425
Phone number: 425-243-7085
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