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Individual
MR. JONGMOO LEE
Active
Individual
MR. JONGMOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 13616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC 13616
ACUPUNCTURE BOARD
CA
Enumeration date
10/14/2010
Last updated
09/24/2014
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