JERRED LEE

CAMP PENDLETON, CA
NPI1962882977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2015-06-04
Last Update Date2015-06-04
Business Address
-- JERRED LEE
62 ABMC BLDG 620305 8TH STREET
CAMP PENDLETON, CA 92055
Phone number: 760-725-7918
Mailing Address
-- JERRED LEE
24474 WESTHAVEN CT
MURRIETA, CA 92562-3838
Phone number:
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