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Individual
MR. IAN DAVID LEE
Active
Individual
MR. IAN DAVID LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY STUDENT
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI46361
ME
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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