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Individual
DR. JEREMY JAMES LEE
Active
Individual
DR. JEREMY JAMES LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., A.T.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
006-0001156
VT
111N00000X
Chiropractor
3263
SC
111N00000X
Chiropractor
Primary
X011060
NY
2255A2300X
Athletic Trainer
060102433
NY
Other
Enumeration date
11/03/2005
Last updated
07/28/2010
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