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1992778567
JOHN LEE
BLOOMINGTON, IN
NPI
1992778567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001314A)
Enumeration Date
2006-02-13
Last Update Date
2007-07-08
Business Address
-- JOHN LEE
101 W KIRKWOOD AVE STE 213
BLOOMINGTON, IN 47404-6129
Phone number: 812-332-9200
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Mailing Address
-- JOHN LEE
101 W KIRKWOOD AVE STE 213
BLOOMINGTON, IN 47404-6129
Phone number: 812-332-9200
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