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Individual
DR. ROSALIE LEE
Active
Individual
DR. ROSALIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
SC#1169
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC1169
EYEMED
SC
Enumeration date
06/01/2005
Last updated
04/28/2010
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