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1952425712
JUNGKU LEE
VENTURA, CA
NPI
1952425712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: CA G77321)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
JUNGKU LEE
3291 LOMA VISTA RD
VENTURA, CA 93003-3099
Phone number: 805-652-6556
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Mailing Address
JUNGKU LEE
3291 LOMA VISTA RD
VENTURA, CA 93003-3099
Phone number: 805-652-6556
Copy
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