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1962882977
JERRED LEE
CAMP PENDLETON, CA
NPI
1962882977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
-- JERRED LEE
62 ABMC BLDG 620305 8TH STREET
CAMP PENDLETON, CA 92055
Phone number: 760-725-7918
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Mailing Address
-- JERRED LEE
24474 WESTHAVEN CT
MURRIETA, CA 92562-3838
Phone number:
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