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Individual
THAI LEE
Active
Individual
THAI LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13002
CA
Other
Enumeration date
04/23/2009
Last updated
01/17/2014
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