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Individual
MR. LEE EDWARD BOUJIE
Active
Individual
MR. LEE EDWARD BOUJIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
1325432
GA
363A00000X
Physician Assistant
Primary
1208082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962734921
TRICARE
—
Enumeration date
02/02/2010
Last updated
05/23/2024
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