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Individual

ROBERT H LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 942-3939
(541) 942-9310
Mailing address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 942-3939
(541) 942-9310

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019047
OR
Enumeration date
12/17/2012
Last updated
12/17/2012
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