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Individual

DEBORAH JEAN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
INDEPENDENT PROVIDER

Contact information

Practice address
9404 N CHURCH DR APT 219, CLEVELAND, OH 44130-4786
(216) 965-5554
Mailing address
9404 N CHURCH DR APT 219, CLEVELAND, OH 44130-4786
(216) 965-5554

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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