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Individual
DOYLE LEE
Active
Individual
DOYLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
37067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR052
GROUP MEDICARE PTAN
CA
01
—
EY244Y
MEDICARE PTAN
CA
Enumeration date
11/30/2010
Last updated
10/08/2012
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