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Individual

CLARA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7901 RON BEATTY BLVD, SEBASTIAN, FL 32976
(772) 664-8171
Mailing address
7901 RON BEATTY BLVD, SEBASTIAN, FL 32976-7472
(772) 664-8171

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9111729
FL

Other

Enumeration date
06/27/2018
Last updated
06/10/2019
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