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Individual
WON JAE LEE
Active
Individual
WON JAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002470
NY
2255A2300X
Athletic Trainer
AT5415
TX
Other
Enumeration date
10/03/2012
Last updated
04/14/2014
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