KI BUM LEE

ST AUGUSTINE, FL
NPI1982093795
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: PA  MD032201L)
Enumeration Date2015-01-16
Last Update Date2015-01-16
Business Address
-- KI BUM LEE
4713 SAWBUCK ST
ST AUGUSTINE, FL 32092-3690
Phone number: 904-940-8993
Mailing Address
-- KI BUM LEE
4713 SAWBUCK ST
ST AUGUSTINE, FL 32092-3690
Phone number: 904-940-8993
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